Active NPI
Lilit Mary Chamichyan, NP
- Acute Care Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1831842012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95018794
- Practice address
- 1907 E Washington Blvd
Los Angeles, CA 90021-3206 - Phone
- (213) 747-7667
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95018794 | CA | Primary |
Addresses
Primary practice location
1907 E Washington Blvd
Los Angeles, CA 90021-3206
Mailing address
2413 N Orchard Dr
Burbank, CA 91504-2208
Phone (818) 259-0206
Other practice location 1
4580 Pacific Blvd
Vernon, CA 90058-2208
Phone (323) 584-0779
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95018794 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Industrial Medical Group | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Occupational Medicine Clinic/Center
- Los Angeles, CA
- NPI 1255629952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1831842012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 N ORCHARD DR",
"city": "BURBANK",
"state": "CA",
"postal_code": "915042208",
"telephone_number": "818-259-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 E WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900213206",
"telephone_number": "213-747-7667"
}
],
"practiceLocations": [
{
"address_1": "4580 Pacific Blvd",
"address_purpose": "LOCATION",
"city": "Vernon",
"state": "CA",
"postal_code": "900582208",
"country_code": "US",
"telephone_number": "323-584-0779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAMICHYAN",
"first_name": "LILIT",
"middle_name": "MARY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95018794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.