Individual provider Active NPI

Lilit Sahakyan, AGNP-C

  • Gerontology Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1679087209
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95007773 Issued in CA
Practice address
837 N Hudson Ave Unit 202
Los Angeles, CA 90038-4605
Phone
(747) 777-0096
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95007773 CA Primary

Addresses

Primary practice location

837 N Hudson Ave Unit 202
Los Angeles, CA 90038-4605

Mailing address

837 N Hudson Ave Unit 202
Los Angeles, CA 90038-4605
Phone (747) 777-0096

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95007773CAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1679087209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 N HUDSON AVE UNIT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900384605",
            "telephone_number": "747-777-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 N HUDSON AVE UNIT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900384605",
            "telephone_number": "747-777-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAKYAN",
        "first_name": "LILIT",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95007773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.