DMITRIY TRETIAK


Address: 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811
Phone: 8185281044

DMITRIY TRETIAK (NPI# 1861993412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 4955 VAN NUYS BLVD STE 308
City SHERMAN OAKS
State CA
Zip Code 91403-1811

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City SHERMAN OAKS
Zip Code 91403

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Dataset Information

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.

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