Individual provider Active NPI

Goarik Minasyan, NP

  • Family Nurse Practitioner
  • North Hollywood, CA
National Provider Identifier
1942916408
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024060 Issued in CA
Practice address
6235 Morse Ave
North Hollywood, CA 91606-2919
Phone
(323) 420-7777
NPI assigned
Jan 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 95024060 CA Primary

Addresses

Primary practice location

6235 Morse Ave
North Hollywood, CA 91606-2919

Mailing address

6235 Morse Ave
North Hollywood, CA 91606-2919

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
I20231109001615 CA Practitioner - Nurse Practitioner 8426393513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

North Hollywood, CA 91606
Phone (323) 420-7777

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as group
Improvement activities
40
Cost
69.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95024060CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gmomentum Inc CurrentSince Dec 1, 2024 Accepting new patients
Arcadia Hospitalist Medical Group, Inc. CurrentSince Sep 29, 2023 Accepting new patients
Sdkare LLC CurrentSince Nov 1, 2024 Accepting new patients
Nourish Home Health Services, Inc. PastSince Oct 1, 2018 Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1942916408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 MORSE AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 MORSE AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062919",
            "telephone_number": "323-420-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINASYAN",
        "first_name": "GOARIK",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.