Active NPI
Serine Mkrtchyan, DOCTOR OF OPTOMETRY
- Optometrist
- Granada Hills, CA
National Provider Identifier
1801537691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35118
- Practice address
- 10605 Balboa Blvd Ste 230
Granada Hills, CA 91344-6344 - Phone
- (818) 368-4114
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35118 | CA | Primary |
Addresses
Primary practice location
10605 Balboa Blvd Ste 230
Granada Hills, CA 91344-6344
Mailing address
8556 Gullo Ave
Panorama City, CA 91402-4048
Phone (818) 573-4867
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221121000801 | CA | Practitioner - Optometry | 2567830714 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35118 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karine Shaghoyan Inc | Optometrist | Current | Accepting new patients |
Locations
10605 Balboa Blvd
Ste 230
Granada Hills, CA 91344
Phone (818) 368-4114
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1801537691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8556 GULLO AVE",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024048",
"telephone_number": "818-573-4867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10605 BALBOA BLVD STE 230",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446344",
"telephone_number": "818-368-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MKRTCHYAN",
"first_name": "SERINE",
"name_prefix": "Dr.",
"credential": "DOCTOR OF OPTOMETRY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.