Individual provider Active NPI

Sirvard Silvia Ayrapetyan

  • Physician Assistant
  • North Hollywood, CA
National Provider Identifier
1811667637
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
12333 Stagg St
North Hollywood, CA 91605-2355
Phone
(818) 640-9498
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

12333 Stagg St
North Hollywood, CA 91605-2355

Mailing address

12333 Stagg St
North Hollywood, CA 91605-2355
Phone (818) 640-9498

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
I20240920003252 CA Practitioner - Physician Assistant 2264973940 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heacock Health Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Ac and CS Past Accepting new patients

Locations

24060 Fir Ave
Ste A
Moreno Valley, CA 92553
Phone (951) 243-6460

Organizations & group practices 5

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1811667637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12333 STAGG ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052355",
            "telephone_number": "818-640-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12333 STAGG ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052355",
            "telephone_number": "818-640-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRAPETYAN",
        "first_name": "SIRVARD",
        "middle_name": "SILVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.