Individual provider Active NPI

Mannana Nairi Tamazyan

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1982561148
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95038162 Issued in CA
Practice address
4143 Verdugo Rd
Los Angeles, CA 90065-3820
Phone
(323) 844-2006
NPI assigned
Jan 8, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95038162 CA Primary

Addresses

Primary practice location

4143 Verdugo Rd
Los Angeles, CA 90065-3820

Mailing address

4143 Verdugo Rd
Los Angeles, CA 90065-3820
Phone (818) 531-5910

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
I20260331004260 CA Practitioner - Nurse Practitioner 9739664376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onclick Healthcare IncorporatedGroup PAC ID 9830511260, 63 clinicians

Practice addresses (Care Compare)

Calabasas, CA 91302
Phone (818) 230-2116

2625 Townsgate Rd
Suite 330
Westlake Village, CA 91361-5749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95038162CAMDNurse Practitioner

Organizations & group practices 1

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": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1982561148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653820",
            "telephone_number": "818-531-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653820",
            "telephone_number": "323-844-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAZYAN",
        "first_name": "MANNANA",
        "middle_name": "NAIRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95038162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.