Organization Active NPI

Mobile Medix Inc

  • Family Nurse Practitioner
  • Studio City, CA
National Provider Identifier
1962380105
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MOBILE MEDIX INC
Practice address
3751 Cahuenga Blvd West Unit C
Studio City, CA 91604-3504
Phone
(310) 415-2567
NPI assigned
Aug 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Tigranuji Tadevosyan
Title
Owner
Phone
(310) 415-2567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3751 Cahuenga Blvd West Unit C
Studio City, CA 91604-3504

Mailing address

3751 Cahuenga Blvd West Unit C
Studio City, CA 91604-3504
Phone (310) 415-2567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251120003347 CA Part B Supplier - Clinic/Group Practice 3476045121 Receives reassigned benefits from 1 practitioner
Practice locations: Studio City, CA

National Provider Directory

National Provider Directory

Locations

3751 Cahuenga Blvd
Ste C
Studio City, CA 91604
Phone (310) 415-2567

3751 Cahuenga Blvd
Unit C
Studio City, CA 91604
Phone (310) 415-2567

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1962380105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 CAHUENGA BLVD WEST UNIT C",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043504",
            "telephone_number": "310-415-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 CAHUENGA BLVD WEST UNIT C",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043504",
            "telephone_number": "310-415-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDIX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "TADEVOSYAN",
        "authorized_official_first_name": "TIGRANUJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-415-2567"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.