Individual provider Active NPI

Anna Nazaryan

  • Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1275368060
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95024908 Issued in CA
Practice address
1146 N Central Ave # 454
Glendale, CA 91202-2506
Phone
(818) 404-9100
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 95024908 CA Primary

Addresses

Primary practice location

1146 N Central Ave # 454
Glendale, CA 91202-2506

Mailing address

1146 N Central Ave # 454
Glendale, CA 91202-2506
Phone (818) 404-9100

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
I20251023001271 CA Practitioner - Nurse Practitioner 7810485612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11240 Magnolia Blvd
Suite 102
North Hollywood, CA 91601-3790

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95024908CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Medical Group, Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

11240 Magnolia Blvd
Ste 102
North Hollywood, CA 91601
Phone (747) 256-8184

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJJCDD/Endpoint/GJJCDD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1275368060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 N CENTRAL AVE # 454",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022506",
            "telephone_number": "818-404-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 N CENTRAL AVE # 454",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022506",
            "telephone_number": "818-404-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARYAN",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.