Joseph Grigorian

Individual provider Active NPI Family Nurse Practitioner · Universal City, CA

NPI 1376494682 · NPPES record last updated Mar 19, 2026

Key facts

NPI
1376494682
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
95038182 (CA)
Practice address
100 Universal City PLZ
Universal City, CA 91608-1002
Phone
(818) 621-2804
NPI assigned
Feb 4, 2026
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
95038182CAMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95038182 CA Yes

Addresses

Primary practice location

100 Universal City PLZ
Universal City, CA 91608-1002

Mailing address

100 Universal City PLZ
Universal City, CA 91608-1002

Other providers in Universal City, CA

All providers in Universal City, CA · Family Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.