Individual provider Active NPI

Lilit Keshishyan

  • Family Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1891565412
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028585 Issued in CA
Practice address
27125 Sierra Hwy Ste 320
Santa Clarita, CA 91351-5488
Phone
(818) 400-6473
NPI assigned
Jan 4, 2024
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95028585 CA Primary

Addresses

Primary practice location

27125 Sierra Hwy Ste 320
Santa Clarita, CA 91351-5488

Mailing address

10612 McVine Ave
Sunland, CA 91040-2820

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
I20250109004120 CA Practitioner - Nurse Practitioner 6204239973 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peyman Younesi MD Professional CorporationGroup PAC ID 9032640164, 8 clinicians
First Aid Urgent Care IncGroup PAC ID 6709106453, 16 clinicians

Practice addresses (Care Compare)

20801 Devonshire St
Chatsworth, CA 91311-3216
Phone (818) 341-2552

7204 Foothill Blvd
Tujunga, CA 91042-2719
Phone (818) 352-8333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95028585CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Aid Urgent Care Inc CurrentSince Dec 20, 2024 Accepting new patients
Rapid Response Urgent Care, Inc CurrentSince Nov 20, 2025 Accepting new patients
Procare Wound & Podiatry Services CurrentSince Jul 1, 2025 Accepting new patients
Journey Hospice Services, Inc PastSince Feb 15, 2026 Accepting new patients
Anaheim Urgent Care, Inc. PastSince Dec 20, 2024 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients

Locations

1023 N Hollywood Way
Ste 206
Burbank, CA 91505
Phone (818) 821-0001

17559 Chatsworth St
Granada Hills, CA 91344
Phone (818) 389-5669

7204 Foothill Blvd
Tujunga, CA 91042
Phone (818) 352-8333

9064 Van Nuys Blvd
Van Nuys, CA 91402
Phone (818) 618-8684

Interoperability endpoints

  • Direct secure messaging: lilit.keshishyan.p1@direct.lakeside.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Devoted Hospice Care IncGlendora, CA, CCN B41796 Hospice Corporate Director Jun 15, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1891565412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10612 MCVINE AVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27125 SIERRA HWY STE 320",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913515488",
            "telephone_number": "818-400-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHISHYAN",
        "first_name": "LILIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.