Individual provider Active NPI

Marlene Kokanian, AGNP; RN

  • Gerontology Nurse Practitioner
  • Granada Hills, CA
National Provider Identifier
1043164437
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95036978 Issued in CA
Practice address
11519 Valjean Ave
Granada Hills, CA 91344-3052
Phone
(818) 371-5737
NPI assigned
Feb 24, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95036978 CA Primary

Addresses

Primary practice location

11519 Valjean Ave
Granada Hills, CA 91344-3052

Mailing address

11519 Valjean Ave
Granada Hills, CA 91344-3052
Phone (818) 371-5737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95036978CAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1043164437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11519 VALJEAN AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443052",
            "telephone_number": "818-371-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11519 VALJEAN AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443052",
            "telephone_number": "818-371-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKANIAN",
        "first_name": "MARLENE",
        "credential": "AGNP; RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95036978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.