Tina Bedrossian, FNP
Individual provider Active NPI Family Nurse Practitioner · La Crescenta, CA
NPI 1801600994 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1801600994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95109215 (CA)
- Practice address
- 3811 Glenwood Ave
La Crescenta, CA 91214-3904 - Phone
- (818) 232-8008
- NPI assigned
- Feb 6, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
23861 McBean Pkwy
Suite B10
Santa Clarita, CA 91355-2092
310 N Jackson St
Apt 301
Glendale, CA 91206-3608
310 N Jackson St Apt
Suite 301
Glendale, CA 91206-3608
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251210003506 | CA | Practitioner - Nurse Practitioner | 8224522974 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95109215 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socal Mobile Doctors MD Inc | Current |
Accepting new patients |
Locations
23861 McBean Pkwy
Ste B10
Valencia, CA 91355
Phone (628) 303-0703
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95109215 | CA | Yes |
Addresses
Primary practice location
3811 Glenwood Ave
La Crescenta, CA 91214-3904
Mailing address
310 N Jackson St Apt 301
Glendale, CA 91206-3608
Phone (818) 653-5778
Other providers in La Crescenta, CA
- Sydney Lee Barney
- Jeanna M Barsamian
- Bolis Batou
- Nitika Batra
- Arax Bedrosian
- Best of Home Health, Inc.
- Better Life Hospice
- Uma Bhaskara
- Bidz Hospice Care, Inc.
- Bloom Ca Investmentsllc
All providers in La Crescenta, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.