Individual provider Active NPI

Sona Terjanyan, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1619628179
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019145 Issued in CA
Practice address
1300 N Vermont Ave Ste 902
Los Angeles, CA 90027-6094
Phone
(323) 913-9130
NPI assigned
Jan 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95019145 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave Ste 902
Los Angeles, CA 90027-6094

Mailing address

12400 Ventura Blvd # 696
Studio City, CA 91604-2406
Phone (818) 426-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220215002565 CA Practitioner - Nurse Practitioner 2860885837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Angeles Lung Center a Professional Medical CorpGroup PAC ID 0648371021, 3 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Suite 902
Los Angeles, CA 90027-6094
Phone (323) 913-9130

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Lung Center a Professional Medical Corp CurrentSince Nov 23, 2021 Accepting new patients
Inglewood Urgent Care Inc Past Accepting new patients

Locations

1300 N Vermont Ave
Ste 902
Los Angeles, CA 90027
Phone (213) 628-3592

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1619628179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 VENTURA BLVD # 696",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042406",
            "telephone_number": "818-426-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 902",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276094",
            "telephone_number": "323-913-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERJANYAN",
        "first_name": "SONA",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.