Elma Khechemyan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F03190142 Issued in CA

Practice address

11550 Indian Hills Rd Ste 240
Mission Hills, CA 91345-1202

Phone

(818) 488-5188

NPI assigned

Apr 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shine MMG IncGroup PAC ID 6103257282, 25 clinicians

California Mobile Medical Group IncGroup PAC ID 7719330091, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Attentive Services Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1245238500

  W-2 Managing Employee

  CMS ownership

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.

• California Mobile Medical Group Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1588439061
  Medicare reassignment Care Compare group NPD
• Shine MMG Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1053930248
  Medicare reassignment Care Compare group NPD
• California Wound Healing Medical Group Inc.

  • Surgical Physician Assistant
  • Alhambra, CA
  • NPI 1235333972
  Medicare reassignment NPD
• Mobile Medical Group Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1487169660
  Medicare reassignment NPD
• New Hope Podiatry Group Inc.

  • Foot & Ankle Surgery Podiatrist
  • Alhambra, CA
  • NPI 1447670955
  NPD (past)

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1962022319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9356 RUBIO AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 240",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451202",
            "telephone_number": "818-488-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHECHEMYAN",
        "first_name": "ELMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-25",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "CA",
            "license": "787514",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F03190142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Kees, MSN, RN, AGACNP-BC
• Esther Keiser, RN
• Ariella Kerendian, DDS
• Lucine Khachtourians, MA, LMFT124909
• Haneen Abdussalam Khamag, M.D.
• Rania Khoukaz, M.D.
• Jamal Elias Khoury, D.C.
• Kidney Consultants Medical Group, Inc
• Danny Kim, M.D.
• Han NA Kim

• Family Nurse Practitioner in Mission Hills, CA
• Providers in Mission 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 Apr 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.