LARISSA TATIANA TEKERIAN
NPI 1710469622
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Larissa Tekerian's NPI number?

The NPI number for Larissa Tekerian is 1710469622. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Q: What is Larissa Tekerian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Larissa Tekerian was last updated on September 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 06, 2018PECOS Enrolled

3767 CENTRAL AVE, SAN DIEGO, CA 92105(619) 278-0777 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Larissa Tatiana Tekerian NPPES

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

LARISSA TATIANA TEKERIAN (NPI 1710469622) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710469622

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLARISSA TATIANA TEKERIAN

Location Address3767 CENTRAL AVESan Diego, CA 92105-2506

Mailing Address3767 Central AveSan Diego, CA 92105-2506

Phone(619) 278-0777

Sole ProprietorNo

Enumeration DateSeptember 6, 2018

✔ NPI 1710469622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3767 CENTRAL AVE, San Diego, CA 92105

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larissa Tatiana Tekerian 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.

Other Providers at the Same Location NPPES 20

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

IKOI HIROE

Counselor (Addiction (Substance Use Disorder))