Active NPI
Acnp Healthcare Services, Inc
- Primary Care Nurse Practitioner
- Porter Ranch, CA
National Provider Identifier
1689578429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dmitriy Tretiak, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Acute Care Nurse Practitioner
- Tarzana, CA
- NPI 1861993412
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.