Individual provider Active NPI

Alen Aladadyan, NP

  • Family Nurse Practitioner
  • Sylmar, CA
National Provider Identifier
1821820994
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031134 Issued in CA
Practice address
11381 Goleta St
Sylmar, CA 91342-6524
Phone
(747) 229-7998
NPI assigned
Aug 16, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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 95031134 CA Primary

Addresses

Primary practice location

11381 Goleta St
Sylmar, CA 91342-6524

Mailing address

11381 Goleta St
Sylmar, CA 91342-6524
Phone (747) 229-7998

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
I20250220001525 CA Practitioner - Nurse Practitioner 5799205761 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95031134CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Medical Group-a Professional Nursing Corporation CurrentSince Feb 3, 2025 Accepting new patients

Locations

3100 W Burbank Blvd
Ste 105
Burbank, CA 91505
Phone (562) 313-8090

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1821820994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11381 GOLETA ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426524",
            "telephone_number": "747-229-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11381 GOLETA ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426524",
            "telephone_number": "747-229-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALADADYAN",
        "first_name": "ALEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.