Dmitriy Tretiak, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95008578 Issued in CA

Practice address

6047 Tampa Ave Ste 301
Tarzana, CA 91356-1182

Phone

(888) 407-6706

NPI assigned

Feb 27, 2018

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

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.

• Epic Medical Group,Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1295178689

  Single Specialty

  Medicare reassignment NPD
• Physicians Preferred Hospice Inc

  • Community Based Hospice Care Agency
  • Tarzana, CA
  • NPI 1376970707
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1861993412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11539 SANTINI LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264421",
            "telephone_number": "818-636-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 TAMPA AVE STE 301",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561182",
            "telephone_number": "888-407-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRETIAK",
        "first_name": "DMITRIY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95008578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Tran
• Hillary Tran
• Michelle Roxas Tran, NURSE PRACTITIONER
• Yana Tregubova Khilkevich, FNP-BC
• Priscilla Joeleen Trejo
• Jessica T Trinh
• Andrea Trinidad
• Marseille Trinidad, RN
• Trinity Diagnostic Medical Group
• Trinity Home Health Care, Inc.

• Acute Care Nurse Practitioner in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.