Individual provider Active NPI

Hasmik Hovakimyan

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1649150293
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95034170 Issued in CA
Practice address
2011 Beverly Blvd
Los Angeles, CA 90057-2403
Phone
(213) 375-7010
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95034170 CA Primary

Addresses

Primary practice location

2011 Beverly Blvd
Los Angeles, CA 90057-2403

Mailing address

18033 Raymer St
Sherwood Forest, CA 91325-3161
Phone (310) 948-4549

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
I20250917004244 CA Practitioner - Nurse Practitioner 0244734713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18033 Raymer St
Sherwood Forest, CA 91325-3161

25044 Peachland Ave
Suite 110
Newhall, CA 91321-2577

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95034170CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Profhealth Westlake Group CurrentSince Aug 28, 2025 Accepting new patients

Locations

2011 Beverly Blvd
Los Angeles, CA 90057
Phone (213) 375-7010

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

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": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1649150293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18033 RAYMER ST",
            "city": "SHERWOOD FOREST",
            "state": "CA",
            "postal_code": "913253161",
            "telephone_number": "310-948-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572403",
            "telephone_number": "213-375-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVAKIMYAN",
        "first_name": "HASMIK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95034170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.