MR. EDIK AVETYAN FNP-C NPI 1437771276

NPI Information

  • NPI: 1437771276
  • Provider Name: MR. EDIK AVETYAN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 839 WATERCRESS LN
    WALNUT, CA
    ZIP 91789
  • Phone: (760) 490-8036

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NPI Details

MR. Edik Avetyan, FNP-C is a family nurse practitioner in Walnut, CA with 10 years of experience. MR. Edik Avetyan, FNP-C NPI is 1437771276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

839 WATERCRESS LN
WALNUT, CA
ZIP 91789-403
Phone: (760) 490-8036

The NPI 1437771276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/14/2020 and was last updated on 5/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95016360CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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