Annie A Essagholian, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95029504 Issued in CA

Practice address

10206 Genesta Ave
Northridge, CA 91325-1627

Phone

(818) 726-3353

NPI assigned

Jun 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Iheal Wound Care, Inc

  • Occupational Health Nurse Practitioner
  • Northridge, CA
  • NPI 1245199793
  NPD (past) Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1639913817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10206 GENESTA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251627",
            "telephone_number": "818-726-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10206 GENESTA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251627",
            "telephone_number": "818-726-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSAGHOLIAN",
        "first_name": "ANNIE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Espinoza
• Sharon Esquibel
• Janet Yvette Esquivel Patino
• Brianna Denise Esquivel
• Odalys Esquivel
• Alicia Estrada
• Alondra Estrada, BA
• Orsini Yurandir Estrada, MSW
• Etehad and Josephson, M.D.'S Inc.
• Siamak P Etehad, MD

• Family Nurse Practitioner in Northridge, CA
• Providers in Northridge, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.