Marc Lee Nehorayan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G081072 Issued in CA

Practice address

6604 Vesper Ave
Van Nuys, CA 91405-4621

Phone

(818) 787-3131

Fax

(818) 787-2104

NPI assigned

Oct 12, 2006

Last updated

Mar 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 19, 2017 through Sep 19, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1689763096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 VESPER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054621",
            "telephone_number": "818-787-3131",
            "fax_number": "818-787-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 VESPER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054621",
            "telephone_number": "818-787-3131",
            "fax_number": "818-787-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEHORAYAN",
        "first_name": "MARC",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G081072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G810720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nathalie Negrete-Perez
• Anthony O Negrete
• Mansour Nejadrasool, DPM
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• Nelson-Nam a Medical Corporation
• Greg J. Nelson, M.D.
• Jessica Nelson

• Psychiatry Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.