Individual provider Active NPI

Armine Manukyan

  • Family Medicine Physician
  • North Hollywood, CA
National Provider Identifier
1245705953
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NPF95010122 Issued in CA
Practice address
6350 Laurel Canyon Blvd Ste 205
North Hollywood, CA 91606-3278
Phone
(818) 653-3959
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NPF95010122 CA Primary

Addresses

Primary practice location

6350 Laurel Canyon Blvd Ste 205
North Hollywood, CA 91606-3278

Mailing address

536 Ivy St
Glendale, CA 91204-1122
Phone (818) 653-3959

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
I20181212002196 CA Practitioner - Nurse Practitioner 8224373618 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF95010122CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Integrated Medical Group, Inc. CurrentSince Jan 31, 2019 Accepting new patients
A&E Medical Group-a Professional Nursing Corporation CurrentSince Feb 1, 2023 Accepting new patients
Global Mobile Medical Alliances, Inc. Family Medicine CurrentSince Jan 31, 2019 Accepting new patients
Mobile Physicians Medical Allied Group Inc Family Medicine PastSince Oct 1, 2021 Accepting new patients
Paramount Healthcare - a Professional Nursing Corporation PastSince Sep 3, 2025 Accepting new patients

Locations

600 N Brand Blvd
Ste 612
Glendale, CA 91203
Phone (818) 239-9293

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

1535 W Merced Ave
Ste 202
West Covina, CA 91790
Phone (626) 337-6246

Organizations & group practices 5

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1245705953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 IVY ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041122",
            "telephone_number": "818-653-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 LAUREL CANYON BLVD STE 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063278",
            "telephone_number": "818-653-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUKYAN",
        "first_name": "ARMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "NPF95010122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.