Alice Mailyan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95033240 Issued in CA

Practice address

625 S Fair Oaks Ave Ste 325
Pasadena, CA 91105-2675

Phone

(626) 535-9344

NPI assigned

Dec 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Southern California Neurology Medical Group, Inc.

  • Neurology Physician
  • Pasadena, CA
  • NPI 1639461825
  NPD (past)

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1255149274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 325",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052675",
            "telephone_number": "626-535-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILYAN",
        "first_name": "ALICE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Mahtani
• Amanda Mai
• Phuc Mai, PHARMD
• Richard Allen Maiden II
• Tiffany Maiden
• Kristofer John Maines, RN
• Sarah Mairesse
• Mak and Kleiger, D.D.S.
• Kenneth B Mak, DDS
• Matthew Mak

• Family Nurse Practitioner in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.