Individual provider Active NPI

Anna Dermenchyan, PHD, RN

  • Administrator Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1376458943
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
728334 Issued in CA
Practice address
1100 Glendon Ave Ste 710
Los Angeles, CA 90024-3503
Phone
(310) 825-9522
NPI assigned
Aug 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WA2000X 728334 CA Primary

Addresses

Primary practice location

1100 Glendon Ave Ste 710
Los Angeles, CA 90024-3503

Mailing address

7715 Coldwater Canyon Ave
North Hollywood, CA 91605-2011
Phone (818) 823-3943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1376458943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 COLDWATER CANYON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052011",
            "telephone_number": "818-823-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GLENDON AVE STE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243503",
            "telephone_number": "310-825-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMENCHYAN",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "PHD, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "728334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.