Individual provider Active NPI

Elizabeth Kvryan, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1841171964
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95036903 Issued in CA
Practice address
4855 Santa Monica Blvd
Los Angeles, CA 90029-2654
Phone
(323) 673-7200
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 95036903 CA Primary

Addresses

Primary practice location

4855 Santa Monica Blvd
Los Angeles, CA 90029-2654

Mailing address

4855 Santa Monica Blvd
Los Angeles, CA 90029-2654
Phone (323) 673-7200

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
I20251204002779 CA Practitioner - Nurse Practitioner 0941793236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miracle Touch Urgent CareGroup PAC ID 8123468535, 5 clinicians

Practice addresses (Care Compare)

4855 Santa Monica Blvd
Los Angeles, CA 90029-2654
Phone (323) 673-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95036903CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remedial Patients Care Inc Multi-Specialty CurrentSince Oct 15, 2025 Accepting new patients
Vital Medical Group, Inc Multi-Specialty CurrentSince Oct 15, 2025 Accepting new patients
Miracle Touch Urgent Care Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Ac and CS Multi-Specialty PastSince Oct 15, 2025 Accepting new patients

Locations

1451 Rimpau Ave
Ste 213
Corona, CA 92879
Phone (951) 268-6272

1314 W Glenoaks Blvd
Ste 205
Glendale, CA 91201
Phone (818) 396-5158

4855 Santa Monica Blvd
Ste 102
Los Angeles, CA 90029
Phone (323) 673-7200

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1841171964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292654",
            "telephone_number": "323-673-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292654",
            "telephone_number": "323-673-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVRYAN",
        "first_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.