Individual provider Active NPI

Luiza Bagdadyan

  • Family Nurse Practitioner
  • Northridge, CA
National Provider Identifier
1134088917
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95038197 Issued in CA
Practice address
8416 Rhea Ave
Northridge, CA 91324-4541
Phone
(818) 818-0630
NPI assigned
Jan 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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 95038197 CA Primary

Addresses

Primary practice location

8416 Rhea Ave
Northridge, CA 91324-4541

Mailing address

8416 Rhea Ave
Northridge, CA 91324-4541

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
I20260529002742 CA Practitioner - Nurse Practitioner 6406326503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22048 Sherman Way
Suite 313
Canoga Park, CA 91303-3014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95038197CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors on the Go Professional Group Corp Single Specialty Current Accepting new patients

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": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1134088917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 RHEA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 RHEA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244541",
            "telephone_number": "818-818-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGDADYAN",
        "first_name": "LUIZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95038197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.