Individual provider Active NPI

Arevik Gharibyan

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1154121747
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034108 Issued in CA
Practice address
401 N Brand Blvd Ste 814
Glendale, CA 91203-4434
Phone
(626) 807-0170
NPI assigned
Mar 14, 2025
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 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 Practitioner 363LF0000X 95034108 CA Primary

Addresses

Primary practice location

401 N Brand Blvd Ste 814
Glendale, CA 91203-4434

Mailing address

14222 Victory Blvd Apt 304
Van Nuys, CA 91401-6534
Phone (626) 807-0170

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
I20251031003112 CA Practitioner - Nurse Practitioner 7618466319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14222 Victory Blvd
Apt 304
Van Nuys, CA 91401-1942

14222 Victory Blvd Apt
Suite 304
Van Nuys, CA 91401-6534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95034108CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carepath Medical Group Inc Multi-Specialty CurrentSince Sep 18, 2025 Accepting new patients

Locations

401 N Brand Blvd
Ste 814
Glendale, CA 91203
Phone (818) 301-9754

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1154121747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14222 VICTORY BLVD APT 304",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016534",
            "telephone_number": "626-807-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE 814",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034434",
            "telephone_number": "626-807-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARIBYAN",
        "first_name": "AREVIK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.