Individual provider Active NPI

Adrineh Kalantar Ohanian

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1760038335
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
826296 Issued in CA
Practice address
401 N Brand Blvd Ste 828
Glendale, CA 91203-4451
Phone
(818) 454-2189
NPI assigned
Aug 9, 2019
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 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 826296 CA Primary

Addresses

Primary practice location

401 N Brand Blvd Ste 828
Glendale, CA 91203-4451

Mailing address

960 E Glenoaks Blvd
Glendale, CA 91207-1717
Phone (818) 454-2189

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
I20200915000849 CA Practitioner - Nurse Practitioner 3577981943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 N Brand Blvd
Glendale, CA 91203-4427
Phone (818) 454-2189

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
826296CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohanian Nursing Care Inc CurrentSince Jan 9, 2023 Accepting new patients
E & S Home Health Care Inc CurrentSince Jan 13, 2022 Accepting new patients
St. Marcos Home & Palliative Care Inc Past Accepting new patients

Locations

401 N Brand Blvd
Ste 828
Glendale, CA 91203
Phone (818) 454-2189

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
E & S Home Health Care IncGlendale, CA, CCN 757678 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Jan 13, 2022
Jan 13, 2022
Jan 13, 2022
Jan 13, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1760038335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071717",
            "telephone_number": "818-454-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE 828",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034451",
            "telephone_number": "818-454-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALANTAR OHANIAN",
        "first_name": "ADRINEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "826296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.