Diana Boghozian

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95015258 Issued in CA

Practice address

1737 W Glenoaks Blvd
Glendale, CA 91201-1542

Phone

(818) 243-1186

NPI assigned

Oct 13, 2020

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Glenwest Medical Center, Inc.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1053493056
  Medicare reassignment NPD
• Glenwest Medical Center, Inc.

  • Internal Medicine Physician
  • North Hills, CA
  • NPI 1699924019
  NPD

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1316545239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 GLENOAKS BLVD UNIT 19",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913316626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011542",
            "telephone_number": "818-243-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGHOZIAN",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boghossian & Martikian Chiropractic Inc
• Avedis V Boghossian, D.D.S
• David Boghossian, D.C.
• Frederick A Boghossian, M.D.
• Biuregh Biura Boghozian
• Bogikian Medical Corporation
• Azat Bogikian, M.D.
• Diana Bohan, CMT
• Kimberly Bohling, OD
• Erick Boiakhtchian

• Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.