Individual provider Active NPI

Kristine Ghazarian, FNP

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1033691944
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008583 Issued in CA
Practice address
435 Arden Ave Ste 550
Glendale, CA 91203-4026
Phone
(818) 242-3916
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008583 CA Primary

Addresses

Primary practice location

435 Arden Ave Ste 550
Glendale, CA 91203-4026

Mailing address

435 Arden Ave Ste 550
Glendale, CA 91203-4026
Phone (818) 242-3916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213001446 CA Practitioner - Nurse Practitioner 7911487558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 E Broadway
Suite 303C
Glendale, CA 91205-4099
Phone (213) 282-6886

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008583CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Wound Care Family CurrentSince Dec 8, 2025 Accepting new patients

Locations

225 E Broadway
Ste 303C
Glendale, CA 91205
Phone (213) 282-6886

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1033691944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 550",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034026",
            "telephone_number": "818-242-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 550",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034026",
            "telephone_number": "818-242-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZARIAN",
        "first_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.