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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1154029874

Susanna Ovsepyan is a Nurse Practitioner in Santa Monica, California. Qualified in 2022, 4 years ago. Practices with Oceanside Medical Group a Medical Corporation, an 18-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

701 Santa Monica Blvd Ste 230
Santa Monica, CA 90401-2625
Phone: (626) 755-0319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95023878 (CA)

Record details

NPI number1154029874
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Oceanside Medical Group A Medical Corporation — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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