Elena Khavshaba, - Medicare Nurse Practitioner in Montrose, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Montrose
Elena Khavshaba, is a medicare enrolled "Nurse Practitioner - Family" in Montrose, California. Her current practice location is 2621 Honolulu Ave, Montrose, California. You can reach out to her office (for appointments etc.) via phone at (818) 726-7220.

Elena Khavshaba is licensed to practice in California (license number F11220384) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487364808.

Contact Information

Elena Khavshaba,
2621 Honolulu Ave,
Montrose, CA 91020-1706
(818) 726-7220
Not Available

Map and Direction




Provider's Profile

Full NameElena Khavshaba
GenderFemale
SpecialityNurse Practitioner - Family
Location2621 Honolulu Ave, Montrose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487364808
  • Provider Enumeration Date: 11/28/2022
  • Last Update Date: 04/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254780232
  • Enrollment ID: I20231215002730

Medical Identifiers

Medical identifiers for Elena Khavshaba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487364808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F11220384 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elena Khavshaba allows following entities to bill medicare on her behalf.
Entity NameDavid Taftian Do Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366917361
PECOS PAC ID: 4385980358
Enrollment ID: O20190111001208
Entity NameAltea Medical California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174302954
PECOS PAC ID: 1850740150
Enrollment ID: O20231212002787
Entity NameEagle Rock Medlink Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528882735
PECOS PAC ID: 3173050689
Enrollment ID: O20241223001559

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elena Khavshaba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elena Khavshaba,
1234 Richard Pl,
Glendale, CA 91206-3463

Ph: (818) 726-7220		Elena Khavshaba,
2621 Honolulu Ave,
Montrose, CA 91020-1706

Ph: (818) 726-7220

Reviews and Comments


Nurse Practitioner Nurses in Montrose, CA

Lera Sauppe, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2037 Verdugo Blvd, Montrose, CA 91020
Phone: 866-389-2727    
Jonathan Tran,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2037 Verdugo Blvd, Montrose, CA 91020
Phone: 866-389-2727    Fax: 401-216-3854
Miss Cynthia Lee,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2037 Verdugo Blvd, Montrose, CA 91020
Phone: 818-248-8018    
Matthew R Mullins, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2037 Verdugo Blvd, Montrose, CA 91020
Phone: 866-389-2727    
Soseh Babayan,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2048 Montrose Ave, Montrose, CA 91020
Phone: 818-957-2224    
Mrs. Kellie Toshiye Lopez, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2103 Montrose Avenue Suite D, Montrose, CA 91020
Phone: 818-319-3911    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.