CECILIA B EUREDJIAN, P.A. — NPI 1164515086 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant in GRANADA HILLS, CA)

CMS-1500 Box 24J / 33a • NPI

1164515086

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363A00000X (CMS 97)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant

Box 32 Service Location & ZIP+4

10515 BALBOA BLVD STE 390, GRANADA HILLS, CA, 91344-6373

✓ 9-Digit EDI 837 ZIP+4 (91344-6373)

Practice Phone & Referral Fax

(818) 366-8112

Fax: (818) 366-6002

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164515086 (CECILIA B EUREDJIAN, P.A.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164515086` (NPI-1 Individual Practitioner)
Provider / Legal Name	CECILIA B EUREDJIAN, P.A.
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: `363A00000X` (Physician Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	10515 BALBOA BLVD STE 390, GRANADA HILLS, CA, 91344-6373
Practice Telephone / Fax	Tel: (818) 366-8112 \| Fax: (818) 366-6002
Administrative Mailing Address	28511 OAK VALLEY RD, CASTAIC, CA, 91384-3059
Enumeration & Last Sync	Enumerated: 2006-10-02 \| CMS Record Updated: 2020-03-24

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10515 BALBOA BLVD STE 390, GRANADA HILLS, CA, 91344-6373

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Plain-English Taxonomy & CMS Crosswalk (363A00000X)

What Does Taxonomy Code 363A00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CECILIA B EUREDJIAN, P.A.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111NN1001X` — Chiropractor, Nutrition Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Nutrition	State: CA \| License: `DC27427` \| Primary: Secondary
`363A00000X` — Physician Assistant Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant	State: CA \| License: `17728` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CECILIA B EUREDJIAN, P.A. (NPI #1164515086)