Individual provider Active NPI

Anna Martirosyan

  • Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1215817036
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F08250807 Issued in CA
Practice address
333 E Glenoaks Blvd Ste 205
Glendale, CA 91207-2098
Phone
(818) 369-7736
NPI assigned
Sep 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F08250807 CA Primary

Addresses

Primary practice location

333 E Glenoaks Blvd Ste 205
Glendale, CA 91207-2098

Mailing address

333 E Glenoaks Blvd Ste 205
Glendale, CA 91207-2098

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
I20260429004192 CA Practitioner - Nurse Practitioner 9739684150 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)

9375 San Fernando Rd
Suite a
Sun Valley, CA 91352-1418

9375 San Fernando Rd
Suite a
Sun Valley, CA 91352-1428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F08250807CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Better Life Hospice PastSince Sep 8, 2025 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercury Hospice IncVan Nuys, CA, CCN D61500 Hospice W-2 Managing Employee Sep 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1215817036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E GLENOAKS BLVD STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E GLENOAKS BLVD STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072098",
            "telephone_number": "818-369-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIROSYAN",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F08250807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.