Individual provider Active NPI

Andranik Alaverdyan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1851254270
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95037699 Issued in CA
Practice address
9350 Wilshire Blvd Ste 203
Beverly Hills, CA 90212-3204
Phone
(310) 304-0818
Fax
(310) 304-1179
NPI assigned
Dec 3, 2025
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95037699 CA Primary

Addresses

Primary practice location

9350 Wilshire Blvd Ste 203
Beverly Hills, CA 90212-3204

Mailing address

9350 Wilshire Blvd Ste 203
Beverly Hills, CA 90212-3204
Phone (310) 304-0818

Other practice location 1

645 Aerick St Ste 2
Inglewood, CA 90301-4883
Phone (310) 810-1058

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
I20260403000645 CA Practitioner - Nurse Practitioner 3375028699 Reassigns benefits to 3 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
Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians

Practice addresses (Care Compare)

1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95037699CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Psychiatric Medicine PC Single Specialty Current Accepting new patients
Ehab Yacoub MD Inc. Single Specialty CurrentSince Mar 20, 2026 Accepting new patients
Aericks Medical Clinic Inc Single Specialty CurrentSince Apr 6, 2026 Accepting new patients

Locations

9350 Wilshire Blvd
Ste 203
Beverly Hills, CA 90212
Phone (310) 254-9701

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

645 Aerick St
Ste 2
Inglewood, CA 90301
Phone (310) 677-7108

7250 Redwood Blvd
Ste 300
Novato, CA 94945
Phone (415) 683-9892

770 1st Ave
Ste 250
San Diego, CA 92101
Phone (619) 292-8304

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, 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": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1851254270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 WILSHIRE BLVD STE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123204",
            "telephone_number": "310-304-0818",
            "fax_number": "310-304-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 WILSHIRE BLVD STE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123204",
            "telephone_number": "310-304-0818",
            "fax_number": "310-304-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Aerick St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903014883",
            "country_code": "US",
            "telephone_number": "310-810-1058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAVERDYAN",
        "first_name": "ANDRANIK",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95037699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.