Individual provider Active NPI

Nune Hasmik Hovanisyan, FNP

  • Family Nurse Practitioner
  • Pasadena, CA
National Provider Identifier
1821629684
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95013103 Issued in CA
Practice address
2544 E Washington Blvd
Pasadena, CA 91107-1452
Phone
(626) 798-1085
Fax
(626) 798-9041
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95013103 CA Primary

Addresses

Primary practice location

2544 E Washington Blvd
Pasadena, CA 91107-1452

Mailing address

2544 E Washington Blvd
Pasadena, CA 91107-1452
Phone (626) 798-1085

Other names 1

  • Nune Hovhannisyan Former name

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
I20200304000543 CA Practitioner - Nurse Practitioner 9133556194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All for Health Health for All IncGroup PAC ID 5698734788, 37 clinicians

Practice addresses (Care Compare)

437 S Pacific Ave
Glendale, CA 91204-1441
Phone (818) 241-1500

710 S Central Ave
Suite 350
Glendale, CA 91204-4647
Phone (818) 616-7557

800 S Central Ave
Suite 308
Glendale, CA 91204-4644
Phone (818) 549-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95013103CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince May 27, 2022 Accepting new patients
All for Health Health for All Inc Current Accepting new patients
Laurel Grove Medical Center Inc CurrentSince May 17, 2024 Accepting new patients
All for Health Health for All Inc CurrentSince May 27, 2022 Accepting new patients

Locations

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

800 S Central Ave
Ste 308
Glendale, CA 91204
Phone (818) 332-2233

5437 Laurel Canyon Blvd
Ste 107
Valley Village, CA 91607
Phone (747) 204-8884

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nune.hovanisyannp.p1@direct.afh.nextgenshare.com

Organizations & group practices 4

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1821629684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071452",
            "telephone_number": "626-798-1085",
            "fax_number": "626-798-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071452",
            "telephone_number": "626-798-1085",
            "fax_number": "626-798-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVANISYAN",
        "first_name": "NUNE",
        "middle_name": "HASMIK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95013103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NUNE",
            "last_name": "HOVHANNISYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.