MR. EDIK AVETYAN (NPI# 1437771276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437771276 |
| Entity Type | Individual |
| Full Name | MR. EDIK AVETYAN |
| Credential | FNP-C |
| Practice Address |
839 Watercress Ln Walnut CA 91789-1403 |
| Practice Telephone | 7604908036 |
| Mailing Telephone | 7604908036 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F05200328 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
839 WATERCRESS LN |
| City | WALNUT |
| State | CA |
| Zip Code | 91789-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964203 | Dolores A. Lopez | Technician | 335 San Roque Drive, Walnut, CA 91789 | 2019-10-22 |
| 1831754233 | Huei-chen Hsu | Pharmacist | 21590 East Valley Blvd., Walnut, CA 91789 | 2019-05-01 |
| 1114486511 | A Plus Acupuncture | Acupuncturist | 1239 N Grand Ave, Walnut, CA 91789 | 2019-03-14 |
| 1003399106 | Larry Besong | Respiratory Therapist, Registered | 22285 Roundup Dr, Walnut, CA 91789 | 2018-09-13 |
| 1114418837 | Yu Yao Lai | Acupuncturist | 20627 Golden Springs Dr # J, Diamond Bar, CA 91789 | 2018-05-29 |
| 1720575608 | Sonam Patel | Pharmacist | 1533 Parker Canyon Road, Walnut, CA 91789 | 2018-04-17 |
| 1649799206 | Jacquelyn Lising | Dietitian, Registered | 911 Summitview Ct, Walnut, CA 91789 | 2017-09-14 |
| 1497272389 | Jennifer Diaz | Behavior Technician | 539 Castlehill Dr, Walnut, CA 91789 | 2017-08-23 |
| 1952759888 | Laurentino Lozada De Guia Jr. | Dentist | 778 Nogales St., Suite G, Walnut, CA 91789 | 2016-06-01 |
| 1679970859 | Grace Park | Chiropractor | 20627 Golden Springs Dr., 2-b, Diamond Bar, CA 91789 | 2014-12-03 |
| Find all providers in zip 91789 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940553 | Cynthia Cruz-porto | Nurse Practitioner | 814 Bridgewater Ln, Walnut, CA 91789-1435 | 2019-12-30 |
| 1588142137 | In-hyang Choi | Nurse Practitioner | 20627 Golden Springs Dr Ste 2d, Walnut, CA 91789-4817 | 2018-08-04 |
| 1679881734 | Nancy Louise Shu | Nurse Practitioner | 20318 Rimview Pl, Walnut, CA 91789-4625 | 2010-09-22 |
| 1467681726 | Rhonda M. Taylor | Nurse Practitioner | 28301 Highway 15, Walnut, MS 38683-9753 | 2009-07-08 |
| 1548426380 | David Picella | Nurse Practitioner | 340 S Lemon Ave, 1295, Walnut, CA 91789-2706 | 2008-07-31 |
| 1508076472 | Natalie Nga Tran | Nurse Practitioner | 340 S Lemon Ave, Ste 1295, Walnut, CA 91789-4667 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.