Individual provider Active NPI

Hamasik Tom Margaryan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodland Hills, CA
National Provider Identifier
1740989391
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021274 Issued in CA
Practice address
20251 Ventura Blvd
Woodland Hills, CA 91364-2563
Phone
(818) 883-9000
NPI assigned
Mar 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021274 CA Primary

Addresses

Primary practice location

20251 Ventura Blvd
Woodland Hills, CA 91364-2563

Mailing address

209 N Catalina St
Burbank, CA 91505-3614

Other practice location 1

1111 N Brand Blvd
Glendale, CA 91202-3070
Phone (818) 230-0017

Other practice location 2

25000 Avenue Stanford Ste 167
Valencia, CA 91355-4596
Phone (661) 299-7033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.21 of 100Reported as group
Quality
53.33
Improvement activities
40
Cost
56.26

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1740989391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N CATALINA ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20251 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642563",
            "telephone_number": "818-883-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 N Brand Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912023070",
            "country_code": "US",
            "telephone_number": "818-230-0017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25000 Avenue Stanford Ste 167",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913554596",
            "country_code": "US",
            "telephone_number": "661-299-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARGARYAN",
        "first_name": "HAMASIK",
        "middle_name": "TOM",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.