Individual provider Active NPI

Marina Tovmasian, FNP-C

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1679273718
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01230142 Issued in CA
Practice address
214 N Central Ave
Glendale, CA 91203-3556
Phone
(818) 246-8000
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 F01230142 CA Primary

Addresses

Primary practice location

214 N Central Ave
Glendale, CA 91203-3556

Mailing address

12616 Lithuania Dr
Granada Hills, CA 91344-1503

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
I20231017003435 CA Practitioner - Nurse Practitioner 4385003714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Health Group a Medical CorporationGroup PAC ID 1951603224, 17 clinicians
Elevate Hospitalist Group IncGroup PAC ID 4183165129, 8 clinicians

Practice addresses (Care Compare)

214 N Central Ave
Glendale, CA 91203-2577
Phone (818) 246-8000

214 N Central Ave
Glendale, CA 91203-3556
Phone (818) 246-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01230142CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Hospitalist Group Inc CurrentSince Feb 20, 2025 Accepting new patients
Elevate Health Group a Medical Corporation CurrentSince May 17, 2023 Accepting new patients

Locations

3808 W Riverside Dr
Ste 120
Burbank, CA 91505
Phone (818) 246-8000

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

214 N Central Ave
Glendale, CA 91203
Phone (818) 241-0970

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17568/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marina.tovmasian.1@17568.direct.athenahealth.com

Organizations & group practices 2

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679273718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12616 LITHUANIA DR",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033556",
            "telephone_number": "818-246-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOVMASIAN",
        "first_name": "MARINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F01230142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.