Individual provider Active NPI

Levon Ktratsyan, FNP-BC

  • Family Nurse Practitioner
  • Sunland, CA
National Provider Identifier
1992521033
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033097 Issued in CA
Practice address
8055 Foothill Blvd
Sunland, CA 91040-2943
Phone
(818) 237-6200
NPI assigned
Nov 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 95033097 CA Primary

Addresses

Primary practice location

8055 Foothill Blvd
Sunland, CA 91040-2943

Mailing address

806 E Lomita Ave Apt E
Glendale, CA 91205-1866
Phone (818) 237-6200

Other practice location 1

7204 Foothill Blvd
Tujunga, CA 91042-2719
Phone (818) 237-6200

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
I20250109001522 CA Practitioner - Nurse Practitioner 5698178259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Aid Urgent Care IncGroup PAC ID 6709106453, 16 clinicians

Practice addresses (Care Compare)

7204 Foothill Blvd
Tujunga, CA 91042-2719
Phone (818) 352-8333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95033097CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Marketing Worldwide Inc. CurrentSince Feb 1, 2026 Accepting new patients
First Aid Urgent Care Inc CurrentSince Dec 20, 2024 Accepting new patients
Anaheim Urgent Care, Inc. PastSince Dec 20, 2024 Accepting new patients

Locations

5015 Eagle Rock Blvd
Ste 200
Los Angeles, CA 90041
Phone (323) 455-4868

8055 Foothill Blvd
Sunland, CA 91040
Phone (818) 237-6200

7204 Foothill Blvd
Tujunga, CA 91042
Phone (818) 237-6200

Organizations & group practices 3

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": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1992521033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 E LOMITA AVE APT E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051866",
            "telephone_number": "818-237-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402943",
            "telephone_number": "818-237-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7204 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Tujunga",
            "state": "CA",
            "postal_code": "910422719",
            "country_code": "US",
            "telephone_number": "818-237-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KTRATSYAN",
        "first_name": "LEVON",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-22",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland, CA

Sources for this page

Verify at the official NPI Registry.