Individual provider Active NPI

Garen B Mirzayan, N.P.

  • Nurse Practitioner
  • Mission Hills, CA
National Provider Identifier
1134656952
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95006599 Issued in CA
Practice address
11550 Indian Hills Rd
Suite 371
Mission Hills, CA 91345-1200
Phone
(818) 365-1194
Fax
(818) 898-3835
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95006599 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95006599 CA

Addresses

Primary practice location

11550 Indian Hills Rd
Suite 371
Mission Hills, CA 91345-1200

Mailing address

11550 Indian Hills Rd
Suite 371
Mission Hills, CA 91345-1200
Phone (818) 365-1194

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
I20170720002433 CA Practitioner - Nurse Practitioner 5799055992 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95006599CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Consultants Medical Group, Inc CurrentSince Jun 1, 2017 Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

11550 Indian Hills Rd
Ste 371
Mission Hills, CA 91345
Phone (818) 365-1194

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: garen.mirzayan@direct.davitaphysiciansolutions.com

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1134656952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "SUITE 371",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200",
            "telephone_number": "818-365-1194",
            "fax_number": "818-898-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "SUITE 371",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200",
            "telephone_number": "818-365-1194",
            "fax_number": "818-898-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAYAN",
        "first_name": "GAREN",
        "middle_name": "B",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-09-20",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006599",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95006599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.