Individual provider Active NPI

Lusine Akopyan, RN, FNP-C

  • Family Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1619659422
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029609 Issued in CA
Practice address
13556 Gilmore St
Van Nuys, CA 91401-1705
Phone
(747) 677-4930
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95231090 CA
Family Nurse Practitioner 363LF0000X 95029609 CA Primary

Addresses

Primary practice location

13556 Gilmore St
Van Nuys, CA 91401-1705

Mailing address

13556 Gilmore St
Van Nuys, CA 91401-1705
Phone (747) 677-4930

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
I20251030004835 CA Practitioner - Nurse Practitioner 1254551195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13556 Gilmore St
Van Nuys, CA 91401-1705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95231090CAMDRegistered Nurse
95029609CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carepath Medical Group Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

401 N Brand Blvd
Ste 814
Glendale, CA 91203
Phone (818) 301-9754

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Town Center Hospice CarePorter Ranch, CA, CCN A11704 Hospice W-2 Managing Employee
Operational/Managerial Control
Aug 1, 2023
Aug 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1619659422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13556 GILMORE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011705",
            "telephone_number": "747-677-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13556 GILMORE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011705",
            "telephone_number": "747-677-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKOPYAN",
        "first_name": "LUSINE",
        "credential": "RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95231090",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.