Individual provider Active NPI

Mariam Oglakhchian, FNP

  • Family Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1659643815
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21576 Issued in CA
Practice address
450 N Roxbury Dr Ste 500
Beverly Hills, CA 90210-4226
Phone
(310) 277-2393
NPI assigned
Feb 3, 2012
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 21576 CA Primary

Addresses

Primary practice location

450 N Roxbury Dr Ste 500
Beverly Hills, CA 90210-4226

Mailing address

450 N Roxbury Dr Ste 500
Beverly Hills, CA 90210-4226
Phone (102) 772-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21576CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
SCRC Medical Group PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1659643815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR STE 500",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104226",
            "telephone_number": "102-772-3933",
            "fax_number": "424-512-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR STE 500",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104226",
            "telephone_number": "310-277-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLAKHCHIAN",
        "first_name": "MARIAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.