Tigranuhi Tina Tadevosyan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95027399 Issued in CA

Practice address

1821 N Lima St
Burbank, CA 91505-1527

Phone

(818) 726-2883

NPI assigned

Jan 12, 2024

Sex

Female

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

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fast Track Wound Care IncGroup PAC ID 6002339330, 3 clinicians

Shine MMG IncGroup PAC ID 6103257282, 25 clinicians

California Mobile Medical Group IncGroup PAC ID 7719330091, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vera Home Healthcare Inc Home health agency, Newhall, CA, CCN 758118

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• California Mobile Medical Group Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1588439061
  Medicare reassignment Care Compare group NPD
• Fast Track Wound Care Inc

  • Internal Medicine Physician
  • North Hollywood, CA
  • NPI 1912706219
  Medicare reassignment Care Compare group NPD
• Shine MMG Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1053930248
  Medicare reassignment Care Compare group NPD
• Access Alliance Medical Group, Inc

  • Primary Care Nurse Practitioner
  • Glendale, CA
  • NPI 1629534045
  Medicare reassignment NPD
• Careone Healthcare Group Inc

  • Primary Care Clinic/Center
  • Glendale, CA
  • NPI 1164317558
  Medicare reassignment NPD
• Mobile Medical Group Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1487169660
  Medicare reassignment NPD
• Mobile Medix Inc

  • Family Nurse Practitioner
  • Studio City, CA
  • NPI 1962380105
  Medicare reassignment NPD
• Precision Wound Solutions

  • Nursing Care Agency
  • La Crescenta, CA
  • NPI 1396562252
  Medicare reassignment NPD

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

• Vera Home Healthcare Inc

  • Home Health Agency
  • Newhall, CA
  • NPI 1952178626
  Care Compare affiliation

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1750152211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N LIMA ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051527",
            "telephone_number": "818-726-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N LIMA ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051527",
            "telephone_number": "818-726-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADEVOSYAN",
        "first_name": "TIGRANUHI",
        "middle_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson Tablas
• George S. Tabor, M.D.
• Hermela Tadele
• Jose Tadeo Torres
• Alen Tadevosyan, RAS
• Maureen Cruz Tadle-Perez, PT,CNS
• Taguhi Tagakchyan, PHARMD
• Gail Taira
• Denise Takahashi, PHARM.D., L.AC.
• Arsineh Takhmasian

• Family Nurse Practitioner in Burbank, CA
• Providers in Burbank, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.