Individual provider Active NPI

Biuregh Biura Boghozian

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1124835079
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10241271 Issued in CA
Practice address
500 N Central Ave Ste 800
Glendale, CA 91203-3345
Phone
(818) 216-6161
NPI assigned
Dec 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F10241271 CA
Primary Care Nurse Practitioner 363LP2300X F10241271 CA
Family Nurse Practitioner 363LF0000X F10241271 CA Primary

Addresses

Primary practice location

500 N Central Ave Ste 800
Glendale, CA 91203-3345

Mailing address

500 N Central Ave Ste 800
Glendale, CA 91203-3345
Phone (818) 216-6161

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
I20250718002163 CA Practitioner - Nurse Practitioner 7315453180 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10241271CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Internal Medicine and Cardiology Medical Group, Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

500 N Central Ave
Ste 800
Glendale, CA 91203
Phone (818) 216-6161

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCJADD

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.

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1124835079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 800",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033345",
            "telephone_number": "818-216-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 800",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033345",
            "telephone_number": "818-216-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGHOZIAN",
        "first_name": "BIUREGH",
        "middle_name": "BIURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "F10241271",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "F10241271",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F10241271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.