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NASTARAN MINASSIANS NP
NPI 1679741425
Licensed Practical Nurse in Los Angeles, CA

Active since February 14, 2008PECOS Enrolled
4842 HOLLYWOOD BLVD, LOS ANGELES, CA 90027(323) 644-1118(323) 644-1171 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nastaran Minassians Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NASTARAN MINASSIANS NP (NPI 1679741425) is an individual licensed practical nurse in Los Angeles, California, licensed in California (12793) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679741425
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNASTARAN MINASSIANSCredential: NP
Location Address4842 HOLLYWOOD BLVDLos Angeles, CA 90027-5302
Mailing Address15206 Parthenia StNorth Hills, CA 91343-5305 · (818) 895-3100 · Fax (818) 892-3352
Phone(323) 644-1118
Fax(323) 644-1171
Sole ProprietorYes
Enumeration DateFebruary 14, 2008
✔ NPI 1679741425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CA · 12793
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4842 HOLLYWOOD BLVD, Los Angeles, CA 90027
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Other Identifiers 4

MedicaidHAP70436FCA
OtherW11698CA · Group Id
MedicaidEAP70436FCA
MedicaidFHC70436FCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nastaran Minassians Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISSION CITY COMMUNITY NETWORK, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4842 HOLLYWOOD BLVD
HOLLYWOOD, CA 90027
Los Angeles County (323) 644-1110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nastaran Minassians's NPI number?

The NPI number for Nastaran Minassians is 1679741425. It was assigned to this individual provider in the NPPES registry on February 14, 2008.

Where is Nastaran Minassians located?

Nastaran Minassians practices at 4842 Hollywood Blvd, Los Angeles, CA 90027. The listed phone number is (323) 644-1118.

What is Nastaran Minassians's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Is Nastaran Minassians enrolled in Medicare?

Yes. Nastaran Minassians is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nastaran Minassians was last updated on February 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.