NPIMap

Organization Active NPI

Aaa Comprehensive Healthcare, Inc

  • Federally Qualified Health Center (FQHC)
  • North Hollywood, CA
National Provider Identifier
1619678307
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AAA COMPREHENSIVE HEALTHCARE, INC
Practice address
7451 Lankershim Blvd
North Hollywood, CA 91605-2803
Phone
(818) 503-9800
Fax
(818) 503-9801
NPI assigned
Mar 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Anna Nshanyan
Title
Ceo
Phone
(818) 503-9800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

7451 Lankershim Blvd
North Hollywood, CA 91605-2803

Mailing address

7451 Lankershim Blvd
North Hollywood, CA 91605-2803
Phone (818) 503-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240217000405 CA Part A Provider - Federally Qualified Health Center (FQHC) 3375677644 Practice locations: North Hollywood, CA

Federally qualified health center certification: CCN A01840

Legal name
AAA COMPREHENSIVE HEALTHCARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 16, 2024
Last certification
Feb 16, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 2009 in CA
Enrollment address
7451 Lankershim Blvd
North Hollywood, CA 91605-2803

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Aaa Comprehensive Healthcare Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7451 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 503-9800

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia Ponce Individual Corporate DirectorBoard Treasurer Nov 7, 2022
David Weg Individual Corporate DirectorBoard Secretary Nov 7, 2022
Anna Nshanyan Individual Corporate OfficerCeo Sep 1, 2009
W-2 Managing EmployeeCeo Sep 1, 2009 100%
Hayk Markosyan Individual Corporate DirectorBoard Chair Nov 7, 2022 100%
Andrew Cameron Individual Corporate OfficerCfo Nov 7, 2022 50%
W-2 Managing EmployeeCfo Nov 7, 2022 50%

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1619678307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052803",
            "telephone_number": "818-503-9800",
            "fax_number": "818-503-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052803",
            "telephone_number": "818-503-9800",
            "fax_number": "818-503-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA COMPREHENSIVE HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "NSHANYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-503-9800"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.