Genna A Teodosio

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95096619 Issued in CA

Practice address

15911 San Fernando Mission Blvd
Granada Hills, CA 91344-3934

Phone

(661) 319-6662

NPI assigned

May 8, 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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Izuchukwu Okpara MD IncGroup PAC ID 1052698966, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Izuchukwu Okpara MD Inc

  • Surgery Physician
  • Valencia, CA
  • NPI 1679004592
  Medicare reassignment Care Compare group NPD
• Caring MD Mobile Group

  • Primary Care Nurse Practitioner
  • La Crescenta, CA
  • NPI 1396542619
  Medicare reassignment

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1689422214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15911 SAN FERNANDO MISSION BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443934",
            "telephone_number": "661-319-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15911 SAN FERNANDO MISSION BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443934",
            "telephone_number": "661-319-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEODOSIO",
        "first_name": "GENNA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95096619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anie Tatavos-Gharajeh, PHARM. D
• Rozin Tatevosyan
• Mike Tchakmakjian
• Tender at Home LLC
• Tender Home Health
• Bincy Rose Thannickal, RPH
• Pravesh Thapar, M.D.
• The Caring Bunch
• The Caring Connection Home Care, Inc.
• The Caring Connection Medical Transportation, Inc.

• Registered Nurse in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.