Gevorg Khalulyan

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197610393 Issued in CA

Practice address

8523 Terhune Ave
Sun Valley, CA 91352-3456

Phone

(818) 962-3232

NPI assigned

Aug 24, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Neasis

  • Assisted Living Facility
  • Sun Valley, CA
  • NPI 1801780887
  NPD Authorized official

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1720863152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 TERHUNE AVE",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523456",
            "telephone_number": "818-962-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8523 TERHUNE AVE",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523456",
            "telephone_number": "818-962-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8523 Terhune Ave",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "CA",
            "postal_code": "91352",
            "country_code": "US",
            "telephone_number": "818-962-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALULYAN",
        "first_name": "GEVORG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197610393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinay V.R. Keesara, M.D.
• Patience B Keregha, M.D.
• Leslie Kerr, 1438161
• Kristine Jizel Khachian
• Nicole Khalil, PHARM.D.
• Mane Kharbertyan, FNP
• Adnan Elias Khoury, MD
• Gene Kim
• Yong Min Kim, DO
• Maryam Kirakosyan

• Assisted Living Facility in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.