Individual provider Active NPI

Diana Gevorgyan, NP

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1427845783
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034743 Issued in CA
Practice address
1911 W Glenoaks Blvd Ste B
Glendale, CA 91201-4746
Phone
(818) 843-6640
Fax
(818) 843-0347
NPI assigned
Apr 21, 2025
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 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 95034743 CA Primary

Addresses

Primary practice location

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

Mailing address

1911 W Glenoaks Blvd Ste B
Glendale, CA 91201-4746
Phone (818) 843-6640

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
I20250523001994 CA Practitioner - Nurse Practitioner 8729415773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18250 Roscoe Blvd
Suite 325
Northridge, CA 91325-4277
Phone (818) 435-8819

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Oncology Ca, a Professional Corporation CurrentSince Jan 5, 2026 Accepting new patients
Starling Oncology Ca, a Professional Corporation CurrentSince Jan 5, 2026 Accepting new patients
Glenoaks Medical Center, Inc. CurrentSince Apr 27, 2025 Accepting new patients
Frisca Villa Inc Current Accepting new patients

Locations

900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400

11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820

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

3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550

18250 Roscoe Blvd
Ste 325
Northridge, CA 91325
Phone (818) 435-8819

399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Circle of Life HospiceBurbank, CA, CCN B21642 Hospice W-2 Managing Employee Feb 23, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1427845783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 W GLENOAKS BLVD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014746",
            "telephone_number": "818-843-6640",
            "fax_number": "818-843-0347"
        },
        {
            "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",
            "fax_number": "818-843-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEVORGYAN",
        "first_name": "DIANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.