Active NPI
Margarita Mouradian
- Physician Assistant
- North Hollywood, CA
National Provider Identifier
1881358356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6828 Laurel Canyon Blvd Unit 214
North Hollywood, CA 91605-6831 - Phone
- (818) 738-5950
- NPI assigned
- Oct 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
6828 Laurel Canyon Blvd Unit 214
North Hollywood, CA 91605-6831
Mailing address
6828 Laurel Canyon Blvd Unit 214
North Hollywood, CA 91605-6831
Phone (818) 738-5950
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 N Brand Blvd
Suite 204
Glendale, CA 91203-2617
Phone (818) 745-0070
130 N Brand Blvd
Suite 208
Glendale, CA 91203-2627
Phone (818) 945-6003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60752 | CA | MD | Marriage & Family Therapist |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1588439061
-
- Family Medicine Physician
- Glendale, CA
- NPI 1053930248
-
- Family Medicine Physician
- Glendale, CA
- NPI 1487169660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1881358356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6828 LAUREL CANYON BLVD UNIT 214",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916056831",
"telephone_number": "818-738-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6828 LAUREL CANYON BLVD UNIT 214",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916056831",
"telephone_number": "818-738-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOURADIAN",
"first_name": "MARGARITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-29",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.