Individual provider Active NPI

Mary Zakaryan, NP

  • Family Nurse Practitioner
  • Sunland, CA
National Provider Identifier
1316809221
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11250261 Issued in CA
Practice address
10320 Odell Ave
Sunland, CA 91040-3006
Phone
(818) 524-9238
NPI assigned
Nov 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F11250261 CA Primary

Addresses

Primary practice location

10320 Odell Ave
Sunland, CA 91040-3006

Mailing address

10320 Odell Ave
Sunland, CA 91040-3006
Phone (818) 524-9238

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
I20260423002124 CA Practitioner - Nurse Practitioner 0042787327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3959 Foothill Blvd
Suite 204
La Crescenta, CA 91214-1664

96 N Madison Ave
Pasadena, CA 91101-1740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F11250261CAMDFamily Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1764374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764374400000",
    "number": "1316809221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 ODELL AVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910403006",
            "telephone_number": "818-524-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 ODELL AVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910403006",
            "telephone_number": "818-524-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKARYAN",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-29",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F11250261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland, CA

Sources for this page

Verify at the official NPI Registry.