Kristine Gevorgyan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95194439 Issued in CA

Practice address

401 N Brand Blvd Ste 230
Glendale, CA 91203-4443

Phone

(747) 203-0016

Fax

(747) 300-0061

NPI assigned

Oct 4, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Loving Hands Hospice

  • Community Based Hospice Care Agency
  • Northridge, CA
  • NPI 1093336414
  NPD

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1790400604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE 230",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034443",
            "telephone_number": "747-203-0016",
            "fax_number": "747-300-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE 230",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034443",
            "telephone_number": "747-203-0016",
            "fax_number": "747-300-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEVORGYAN",
        "first_name": "KRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95194439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gevorgyan Brothers Hospice, Inc.
• Alexander G. Gevorgyan, M.D.
• Diana Gevorgyan, NP
• Diana Gevorgyan, PHARMD
• Helen Gevorgyan
• Meri Gevorgyan
• Nelli Gevorgyan, RN
• Tina Gevorgyan
• Amelia Gevorkian
• Gary John Gevorkian, PHARM.D.

• Registered Nurse in Glendale, CA
• Providers in Glendale, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.