Individual provider Active NPI

Diana Shahinyan, NP

  • Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1295452282
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95020883 Issued in CA
Practice address
1911 W Glenoaks Blvd Ste B
Glendale, CA 91201-4746
Phone
(818) 843-6640
NPI assigned
Oct 20, 2022
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 95020883 CA Primary

Addresses

Primary practice location

1911 W Glenoaks Blvd Ste B
Glendale, CA 91201-4746

Mailing address

435 N Glenoaks Blvd
Burbank, CA 91502-1121

Other practice location 1

435 N Glenoaks Blvd
Burbank, CA 91502-1121
Phone (818) 848-2288

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
I20240730004433 CA Practitioner - Nurse Practitioner 0749727444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aande Medical Group-a Professional Nursing CorporationGroup PAC ID 7719388230, 20 clinicians

Practice addresses (Care Compare)

600 N Brand Blvd
Suite 612
Glendale, CA 91203-4214
Phone (818) 239-9293

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95020883CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A&E Medical Group-a Professional Nursing Corporation CurrentSince Jan 5, 2026 Accepting new patients
Paramount Healthcare - a Professional Nursing Corporation CurrentSince Jan 5, 2026 Accepting new patients
Glenoaks Medical Center, Inc. CurrentSince Dec 22, 2024 Accepting new patients

Locations

1911 W Glenoaks Blvd
Ste B
Glendale, CA 91201
Phone (818) 843-6640

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21900/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1295452282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 W GLENOAKS BLVD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014746",
            "telephone_number": "818-843-6640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 N Glenoaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915021121",
            "country_code": "US",
            "telephone_number": "818-848-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHINYAN",
        "first_name": "DIANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.