DMITRIY TRETIAK (NPI# 1861993412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861993412 |
| Entity Type | Individual |
| Full Name | DMITRIY TRETIAK |
| Credential | NP |
| Practice Address |
4955 Van Nuys Blvd Ste 308 Sherman Oaks CA 91403-1811 |
| Mailing Address |
19156 Hamlin St Unit 1 Reseda CA 91335-5842 |
| Practice Telephone | 8185281044 |
| Mailing Telephone | 8186369344 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95008578 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4955 VAN NUYS BLVD STE 308 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497807853 | Keino Andre Rutherford | Internal Medicine | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 | 2007-01-17 |
| 1750930707 | Monica Abigail Arellano Keh | Nurse Practitioner | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 | 2019-09-11 |
| 1265095921 | Hambartsoum Mekharian | Nurse Practitioner | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 | 2019-04-18 |
| 1215443916 | Orion Healthcare Management Services | Case Management | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 | 2017-12-18 |
| 1457712309 | Derderyan Medical Group Inc. | Internal Medicine | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 | 2016-03-18 |
| 1669817987 | Sridhar M Reddy | Internal Medicine | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 | 2013-04-30 |
| 1114258944 | Edmond Derderian | Internal Medicine | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 | 2010-01-18 |
| 1972836252 | Epic Cardiology | Internal Medicine | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 | 2009-09-17 |
| 1679733646 | Georges Tanbe | Internal Medicine | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815808 | Lia Christian | Nurse Practitioner | 14605 Burbank Blvd Apt 109, Sherman Oaks, CA 91411-4308 | 2020-09-08 |
| 1255982492 | Travis Petrick | Nurse Practitioner | 15353 Weddington St Apt C107, Sherman Oaks, CA 91411-3844 | 2019-09-27 |
| 1275005621 | Valentina Obreja | Nurse Practitioner | 14960 Dickens St Unit 212, Sherman Oaks, CA 91403-3466 | 2018-12-26 |
| 1174002992 | Nareene Safarian | Nurse Practitioner | 14572 Dickens St Unit 303, Sherman Oaks, CA 91403-3777 | 2018-08-13 |
| 1295221125 | Alexandria Rudolph | Nurse Practitioner | 14724 Ventura Blvd Ste 420, Sherman Oaks, CA 91403-3501 | 2018-07-03 |
| 1083157606 | Christopher Gerard Negrete | Nurse Practitioner | 4911 Van Nuys Blvd Ste 102, Sherman Oaks, CA 91403-6802 | 2016-11-30 |
| 1790168953 | Svetlana Radchenko | Nurse Practitioner | 4915 Tyrone Ave Apt 214, Sherman Oaks, CA 91423-1107 | 2015-07-07 |
| 1457356479 | Timothy James Stacy | Nurse Practitioner | 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, CA 91403-1801 | 2005-06-16 |
| 1528668571 | Maria Teresa Sanchez | Nurse Practitioner | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411-2522 | 2020-10-29 |
| 1134753445 | Ronald Phillip Bataclan | Nurse Practitioner | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 | 2020-02-25 |
| Find all providers in SHERMAN OAKS | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
Please comment or provide details below to improve the information on DMITRIY TRETIAK.
| 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.