Individual provider Active NPI

Ani Shirvanian, MSN-FNP

  • Family Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1174345268
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032459 Issued in CA
Practice address
435 N Bedford Dr Ste 300
Beverly Hills, CA 90210-4346
Phone
(310) 504-1230
NPI assigned
Oct 29, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 95032459 CA Primary

Addresses

Primary practice location

435 N Bedford Dr Ste 300
Beverly Hills, CA 90210-4346

Mailing address

435 N Bedford Dr Ste 300
Beverly Hills, CA 90210-4346

Other practice location 1

435 Arden Ave Ste 310
Glendale, CA 91203-4014
Phone (818) 247-6676

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
I20250107002839 CA Practitioner - Nurse Practitioner 8921536715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beverly Hills AllergyGroup PAC ID 3072832930, 2 clinicians

Practice addresses (Care Compare)

435 N Bedford Dr
Suite 300
Beverly Hills, CA 90210-4346
Phone (310) 855-9909

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Hills Allergy CurrentSince Dec 1, 2024 Accepting new patients
Hariri Medical Group Inc Past Accepting new patients

Locations

435 N Bedford Dr
Ste 300
Beverly Hills, CA 90210
Phone (310) 855-9909

435 Arden Ave
Ste 310
Glendale, CA 91203
Phone (818) 247-6676

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1174345268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104346",
            "telephone_number": "310-504-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Arden Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912034014",
            "country_code": "US",
            "telephone_number": "818-247-6676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRVANIAN",
        "first_name": "ANI",
        "credential": "MSN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.