Organization Active NPI

Acnp Healthcare Services, Inc

  • Primary Care Nurse Practitioner
  • Porter Ranch, CA
National Provider Identifier
1689578429
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ACNP HEALTHCARE SERVICES, INC
Practice address
11539 Santini LN
Porter Ranch, CA 91326-4421
Phone
(818) 636-9344
Fax
(818) 483-8104
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Dmitriy Tretiak, NPNPI 1861993412
Title
President
Phone
(818) 636-9344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

11539 Santini LN
Porter Ranch, CA 91326-4421

Mailing address

11539 Santini LN
Porter Ranch, CA 91326-4421
Phone (818) 636-9344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1689578429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11539 SANTINI LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264421",
            "telephone_number": "818-636-9344",
            "fax_number": "818-483-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11539 SANTINI LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264421",
            "telephone_number": "818-636-9344",
            "fax_number": "818-483-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACNP HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "TRETIAK",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-636-9344",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.