Individual provider Active NPI

Ani Altunyan

  • Family Nurse Practitioner
  • Panorama City, CA
National Provider Identifier
1730933805
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029538 Issued in CA
Practice address
9064 Van Nuys Blvd
Panorama City, CA 91402-1813
Phone
(818) 892-9000
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029538 CA Primary

Addresses

Primary practice location

9064 Van Nuys Blvd
Panorama City, CA 91402-1813

Mailing address

15358 Keswick St
Van Nuys, CA 91406-2044
Phone (818) 406-5644

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
I20240618003223 CA Practitioner - Nurse Practitioner 1557804515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Aid Urgent Care IncGroup PAC ID 6709106453, 16 clinicians

Practice addresses (Care Compare)

7204 Foothill Blvd
Tujunga, CA 91042-2719
Phone (818) 352-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95029538CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kami Adibi MD, Inc CurrentSince Apr 21, 2024 Accepting new patients
First Aid Urgent Care Inc CurrentSince May 1, 2024 Accepting new patients
Anaheim Urgent Care, Inc. PastSince May 1, 2024 Accepting new patients

Locations

7204 Foothill Blvd
Tujunga, CA 91042
Phone (818) 352-8333

9064 Van Nuys Blvd
Van Nuys, CA 91402
Phone (818) 352-8333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1730933805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15358 KESWICK ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062044",
            "telephone_number": "818-406-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9064 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021813",
            "telephone_number": "818-892-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTUNYAN",
        "first_name": "ANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.