Tatevik Tina Ambartsoumian, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95039050 Issued in CA

Practice address

350 Salem St Unit 102
Glendale, CA 91203-2511

Phone

(818) 371-2858

NPI assigned

Sep 10, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1861302887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SALEM ST UNIT 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032511",
            "telephone_number": "818-371-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SALEM ST UNIT 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032511",
            "telephone_number": "818-371-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBARTSOUMIAN",
        "first_name": "TATEVIK",
        "middle_name": "TINA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95039050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.