Individual provider Active NPI

Ellen Oganesyan, NURSE PRACTITIONER

  • Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1871388512
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95034589 Issued in CA
Practice address
718 E Olive Ave Apt D
Burbank, CA 91501-2135
Phone
(818) 425-3154
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95034589 CA Primary

Addresses

Primary practice location

718 E Olive Ave Apt D
Burbank, CA 91501-2135

Mailing address

718 E Olive Ave Apt D
Burbank, CA 91501-2135
Phone (818) 425-3154

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
I20251106000590 CA Practitioner - Nurse Practitioner 4981194149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

718 E Olive Ave
Apt D
Burbank, CA 91501-2135

815 S Central Ave
Suite 24
Glendale, CA 91204-2092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95034589CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Management CurrentSince Sep 16, 2025 Accepting new patients

Locations

800 S Central Ave
Ste 301
Glendale, CA 91204
Phone (747) 303-7444

Interoperability endpoints

  • Direct secure messaging: ellen.oganesyan@481179541897220.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1871388512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 E OLIVE AVE APT D",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012135",
            "telephone_number": "818-425-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 E OLIVE AVE APT D",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012135",
            "telephone_number": "818-425-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGANESYAN",
        "first_name": "ELLEN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95034589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.