Individual provider Active NPI

Elen Beremesh, NP

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1831022607
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95039879 Issued in CA
Practice address
1500 S Central Ave Ste 323
Glendale, CA 91204-3858
Phone
(747) 200-6948
Fax
(747) 800-8005
NPI assigned
Jun 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 95039879 CA Primary

Addresses

Primary practice location

1500 S Central Ave Ste 323
Glendale, CA 91204-3858

Mailing address

1500 S Central Ave Ste 323
Glendale, CA 91204-3858
Phone (747) 200-6948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95039879CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Path Medical Group MD Current Accepting new patients
Prime Home Health Inc Current Accepting new patients
Pathway Home Health Services, Inc. Current Accepting new patients

Locations

1500 S Central Ave
Ste 323
Glendale, CA 91204
Phone (747) 200-6948

Organizations & group practices 3

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": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1831022607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE STE 323",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043858",
            "telephone_number": "747-200-6948",
            "fax_number": "747-800-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE STE 323",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043858",
            "telephone_number": "747-200-6948",
            "fax_number": "747-800-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEREMESH",
        "first_name": "ELEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95039879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.