Individual provider Active NPI

Lena Natalie Ashdjian, M.T.

  • Specialist
  • Porter Ranch, CA
National Provider Identifier
1770820516
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33722 Issued in CA
Practice address
11177 Tampa Ave Ste a
Porter Ranch, CA 91326-2254
Phone
(818) 831-8000
Fax
(818) 831-8005
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
33722CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Ranch Medical Center Past Accepting new patients
Porter Ranch Integrative Medical Clinic, a Professional Corporation PastSince Aug 29, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lena.ashdjian.p1@direct.lakeside.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 33722 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

11177 Tampa Ave Ste a
Porter Ranch, CA 91326-2254

Mailing address

11177 Tampa Ave Ste a
Porter Ranch, CA 91326-2254
Phone (818) 831-8000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2013.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1770820516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11177 TAMPA AVE STE A",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262254",
            "telephone_number": "818-831-8000",
            "fax_number": "818-831-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11177 TAMPA AVE STE A",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262254",
            "telephone_number": "818-831-8000",
            "fax_number": "818-831-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHDJIAN",
        "first_name": "LENA",
        "middle_name": "NATALIE",
        "credential": "M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "33722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.