Individual provider Active NPI

Samvel Darbinyan

  • Assisted Living Facility
  • Granada Hills, CA
National Provider Identifier
1063305472
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197610777 Issued in CA
Practice address
17215 Nugent PL
Granada Hills, CA 91344-1649
Phone
(747) 500-0440
NPI assigned
Jun 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197610777 CA Primary

Addresses

Primary practice location

17215 Nugent PL
Granada Hills, CA 91344-1649

Mailing address

17215 Nugent PL
Granada Hills, CA 91344-1649
Phone (747) 500-0440

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
197610777CAMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Relaxed Home Health Care Current Accepting new patients
Granada Assisted Living Inc Assisted Living Facility CurrentSince Jun 8, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1063305472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 NUGENT PL",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441649",
            "telephone_number": "747-500-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 NUGENT PL",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441649",
            "telephone_number": "747-500-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBINYAN",
        "first_name": "SAMVEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197610777",
            "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 Jun 3, 2025; 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.