Organization Active NPI

Healpro

  • Nurse Practitioner
  • San Fernando, CA
National Provider Identifier
1790697365
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HEALPRO
Practice address
255 Parkside Dr Unit 204
San Fernando, CA 91340-3033
Phone
(310) 432-3219
NPI assigned
Sep 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Samvel Baghoyan
Title
Practice Owner
Phone
(310) 432-3219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

255 Parkside Dr Unit 204
San Fernando, CA 91340-3033

Mailing address

255 Parkside Dr Unit 204
San Fernando, CA 91340-3033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1790697365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARKSIDE DR UNIT 204",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARKSIDE DR UNIT 204",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403033",
            "telephone_number": "310-432-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALPRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "BAGHOYAN",
        "authorized_official_first_name": "SAMVEL",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "310-432-3219"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.