Armen Avetisyan, MSN PHN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017429 Issued in CA

Practice address

1030 S Glendale Ave Ste 404
Glendale, CA 91205-2866

Phone

(818) 240-9911

Fax

(818) 240-3911

NPI assigned

Nov 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J.H.S. Medical Center, Inc.Group PAC ID 5799978870, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• J.H.S. Medical Center, Inc.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1265564496
  Medicare reassignment Care Compare group NPD
• House of Faith Congregate Living Inc

  • Nursing Facility/Intermediate Care Facility
  • Sun Valley, CA
  • NPI 1972909356
  NPD (past) Authorized official
• Glendale Adventist Medical Center

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1114916293
  NPD (past)

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1972909406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 404",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-240-9911",
            "fax_number": "818-240-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 404",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-240-9911",
            "fax_number": "818-240-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVETISYAN",
        "first_name": "ARMEN",
        "credential": "MSN PHN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-11",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jhsmedicalcenter@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Jhsmedicalcenter@yahoo.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1030 S Glendale Ave Ste 404",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912052866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarkees Avedissian
• Sarmeen Avedissian
• Marina E. Avelar
• Aveon Home Health Inc
• Anna Avetisyan
• Arthur Avetisyan, PHARMD
• Artur Avetisyan
• Haya Haykuhi Avetisyan, LMFT
• Tigran Avetisyan
• Adrine Avetyan

• Family Nurse Practitioner in Glendale, CA
• Providers in Glendale, 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 Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.