Siranush Grigoryan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95034155 Issued in CA

Practice address

13630 Van Nuys Blvd
Pacoima, CA 91331-3600

Phone

(747) 888-2584

NPI assigned

Dec 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinica Medica PacoimaGroup PAC ID 1254770514, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Clinica Medica Pacoima

  • Internal Medicine Physician
  • Pacoima, CA
  • NPI 1649038985

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Pine Medical Care

  • Internal Medicine Physician
  • Pacoima, CA
  • NPI 1942007539

  Multi-Specialty

  NPD
• Smart Choice Home Health Care Inc

  • Home Health Agency
  • Burbank, CA
  • NPI 1124634977
  NPD (past)

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1093582546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12812 OXNARD ST",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064315",
            "telephone_number": "747-888-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313600",
            "telephone_number": "747-888-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORYAN",
        "first_name": "SIRANUSH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan E Goyette
• Regina Grant
• Jacquelyn Kay Green, M.D.
• Jennifer A Greiner
• Sherry Grenaway
• Natalie Grimes-York, B.S.
• Lina Caryn Ortiz Grupper
• Lynda Gudino
• Emmelynn Guevara
• Perla Guillermo

• Family Nurse Practitioner in Pacoima, CA
• Providers in Pacoima, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.