Individual provider Active NPI

Ani Sinanyan, NP

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1124533211
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008180 Issued in CA
Practice address
345 N Jackson St Apt 209
Glendale, CA 91206-3663
Phone
(818) 424-7474
Fax
(818) 781-3862
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95008180 CA Primary

Addresses

Primary practice location

345 N Jackson St Apt 209
Glendale, CA 91206-3663

Mailing address

345 N Jackson St Apt 209
Glendale, CA 91206-3663
Phone (818) 424-7474

Other identifiers 1

IdentifierTypeStateIssuer
95008180OtherCALICENCE

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
I20200321000513 CA Practitioner - Nurse Practitioner 1759617541 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jha Geriatric Services, Inc CurrentSince Oct 7, 2019 Accepting new patients
Jha Geriatric Services, Inc Single Specialty CurrentSince Oct 7, 2019 Accepting new patients
Magna Vitae CurrentSince May 16, 2016 Accepting new patients
Queen Hospice Care, Inc. PastSince Feb 9, 2026 Accepting new patients

Locations

18855 Victory Blvd
Reseda, CA 91335
Phone (818) 774-3000

7150 Tampa Ave
Reseda, CA 91335
Phone (818) 757-4447

Interoperability endpoints

  • Direct secure messaging: ani.sinanyan.1@16174.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Magna VitaeSun Valley, CA, CCN 559347 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)
May 16, 2016
May 16, 2016
May 16, 2016
May 16, 2016
May 16, 2016
Queen Hospice Care, Inc.Sun Valley, CA, CCN B21599 Hospice W-2 Managing Employee Feb 9, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1124533211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N JACKSON ST APT 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063663",
            "telephone_number": "818-424-7474",
            "fax_number": "818-781-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N JACKSON ST APT 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063663",
            "telephone_number": "818-424-7474",
            "fax_number": "818-781-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINANYAN",
        "first_name": "ANI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "95008180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.