Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elma Khechemyan

Individual provider Oncology Registered Nurse · NPI 1962022319

Elma Khechemyan is a Nurse Practitioner in Mission Hills, California. Qualified in 2017, 9 years ago. Practices with Shine Mmg Inc, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

11550 Indian Hills Rd Ste 240
Mission Hills, CA 91345-1202
Phone: (818) 488-5188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F03190142 (CA)
Oncology Registered Nurse Taxonomy 163WX0200X · Licence 787514 (CA)

Record details

NPI number1962022319
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2020
Last updated in NPPESApril 25, 2020
Certification dateApril 25, 2020
Mailing address9356 Rubio Ave, North Hills, CA 91343-3618

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Shine Mmg Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare