Individual provider Active NPI

Romina Iskandaryan, MSN, FNP

  • Family Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1780327791
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028386 Issued in CA
Practice address
14411 Hamlin St
Van Nuys, CA 91401-1467
Phone
(818) 994-0616
NPI assigned
Apr 18, 2022
Reactivated
Dec 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95268848 CA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 95028386 CA Primary

Addresses

Primary practice location

14411 Hamlin St
Van Nuys, CA 91401-1467

Mailing address

14411 Hamlin St
Van Nuys, CA 91401-1467
Phone (310) 940-7171

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address admin@hollywoodmrc.com
Direct Messaging Address Rama@fitheartmd.com

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
I20240228001638 CA Practitioner - Nurse Practitioner 9931544087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ramesh Arora Medical CorpGroup PAC ID 5294763926, 3 clinicians

Practice addresses (Care Compare)

14411 Hamlin St
Van Nuys, CA 91401-1467
Phone (818) 994-0616

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95268848CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ramesh Arora Medical Corp. Multi-Specialty CurrentSince Jan 8, 2024 Accepting new patients

Locations

14411 Hamlin St
Van Nuys, CA 91401
Phone (818) 994-0616

Interoperability endpoints

  • Direct secure messaging: romina.iskandaryan.1@8974.direct.athenahealth.com
  • Direct secure messaging: rama@fitheartmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1780327791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 HAMLIN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011467",
            "telephone_number": "310-940-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 HAMLIN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011467",
            "telephone_number": "818-994-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDARYAN",
        "first_name": "ROMINA",
        "credential": "MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2024-05-10",
        "certification_date": "2023-12-22",
        "deactivation_date": "2023-12-14",
        "reactivation_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95268848",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@hollywoodmrc.com",
            "affiliation": "N",
            "address_1": "5232 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900275710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rama@fitheartmd.com",
            "affiliation": "N",
            "address_1": "14411 Hamlin St",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914011467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.