Individual provider Active NPI

Natalie Nvart Sexenian, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Reseda, CA
National Provider Identifier
1699307645
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA57775 Issued in CA
Practice address
7640 Tampa Ave Ste 101
Reseda, CA 91335-1713
Phone
(818) 718-1600
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA57775 CA Primary

Addresses

Primary practice location

7640 Tampa Ave Ste 101
Reseda, CA 91335-1713

Mailing address

7640 Tampa Ave Ste 101
Reseda, CA 91335-1713
Phone (818) 718-1600

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
I20200407000456 CA Practitioner - Physician Assistant 9335578749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leo Polosajian MD a Professional Med CorpGroup PAC ID 7810080363, 3 clinicians
Mid Valley Vascular Center, IncGroup PAC ID 5395967186, 2 clinicians

Practice addresses (Care Compare)

7640 Tampa Ave
Suite 101
Reseda, CA 91335-1713
Phone (818) 718-1600

Hospital & facility affiliations

  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
82.32
Improvement activities
40
Cost
35.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA57775CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Noninvasive Medical Imaging Incorporated CurrentSince Feb 9, 2020 Accepting new patients

Locations

7640 Tampa Ave
Ste 101
Reseda, CA 91335
Phone (818) 718-1600

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1699307645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 TAMPA AVE STE 101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351713",
            "telephone_number": "818-718-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 TAMPA AVE STE 101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351713",
            "telephone_number": "818-718-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXENIAN",
        "first_name": "NATALIE",
        "middle_name": "NVART",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA57775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.