Mobile Advanced Nursing, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP21860 Issued in CA

Legal business name

MOBILE ADVANCED NURSING, INC.

Practice address

15782 Midwood Dr Unit 3
Granada Hills, CA 91344-3223

Phone

(323) 630-2063

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Miss Georgina Bachoura, FNPNPI 1760746242

Title

Ceo/President

Phone

(323) 630-2063

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Georgina Bachoura, MSN, APRN, FNP

  • Family Nurse Practitioner
  • San Fernando, CA
  • NPI 1760746242
  NPD (past) Authorized official

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1942616172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15782 MIDWOOD DR UNIT 3",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443223",
            "telephone_number": "323-630-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15782 MIDWOOD DR UNIT 3",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443223",
            "telephone_number": "323-630-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ADVANCED NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "BACHOURA",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "323-630-2063",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP21860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760746242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Elena Mittelstadt, PTA, ATC, ESWT TECH
• Lexington Jean Mix, MA MFT
• Anush Mkrtchyan, RD
• Serine Mkrtchyan, DOCTOR OF OPTOMETRY
• George Mnatsakanyan, OD
• Fatima Mohsin, PHARMD/MBA
• Anna L. Molina, B.A
• Momentum Agencies
• Momentum Agencies
• Medinat M Momoh-Kazeem, FNP-C

• Family Nurse Practitioner in Granada Hills, CA
• Providers in Granada Hills, 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 Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.