Individual provider Active NPI

Diane Israelyan

  • Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1447041025
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95035090 Issued in CA
Practice address
1000 Orange Grove Ave Apt 5
Glendale, CA 91205-1288
Phone
(818) 862-0923
NPI assigned
May 14, 2025
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95035090 CA Primary

Addresses

Primary practice location

1000 Orange Grove Ave Apt 5
Glendale, CA 91205-1288

Mailing address

1000 Orange Grove Ave Apt 5
Glendale, CA 91205-1288

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
I20250708000894 CA Practitioner - Nurse Practitioner 0446764914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Taftian DO IncGroup PAC ID 4385980358, 18 clinicians
Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians

Practice addresses (Care Compare)

11162 Palm Terrace LN
Riverside, CA 92505-2338
Phone (951) 687-7330

7120 Corbin Ave
Reseda, CA 91335-3618
Phone (818) 881-4540

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95035090CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical California PC CurrentSince Jun 26, 2025 Accepting new patients
David Taftian DO, Inc CurrentSince Aug 4, 2025 Accepting new patients

Locations (25 of 72)

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1601 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 292-1241

14475 Garden View Ln
Baldwin Park, CA 91706
Phone (626) 962-7095

1900 Grismer Ave
Burbank, CA 91504
Phone (818) 843-2780

10610 Owensmouth Ave
Chatsworth, CA 91311
Phone (818) 882-3200

21820 Craggy View St
Chatsworth, CA 91311
Phone (818) 882-2833

11900 Ramona Blvd
El Monte, CA 91732
Phone (626) 442-5721

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

1208 S Central Ave
Glendale, CA 91204
Phone (818) 246-5516

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

409 W Glenoaks Blvd
Glendale, CA 91202
Phone (818) 240-3400

413 E Cypress St
Glendale, CA 91205
Phone (818) 244-2323

630 W Broadway
Glendale, CA 91204
Phone (818) 247-3395

1033 E Arrow Hwy
Glendora, CA 91740
Phone (323) 262-9948

10626 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 368-2802

16123 Chatsworth St
Granada Hills, CA 91344
Phone (818) 891-1745

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

1515 N Alexandria Ave
Los Angeles, CA 90027
Phone (214) 986-3010

2070 Century Park E
Los Angeles, CA 90067
Phone (310) 772-4100

580 S San Vicente Blvd
Los Angeles, CA 90048
Phone (323) 782-1500

8167 W 3rd St
Los Angeles, CA 90048
Phone (323) 655-2023

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 473-3896

1035 W Beverly Blvd
Montebello, CA 90640
Phone (323) 721-6589

2123 Verdugo Blvd
Montrose, CA 91020
Phone (818) 249-3925

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19088/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1447041025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ORANGE GROVE AVE APT 5",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ORANGE GROVE AVE APT 5",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051288",
            "telephone_number": "818-862-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAELYAN",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95035090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.