Individual provider Active NPI

Ani Geghamyan, MSN, FNP-C

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1447978721
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017032 Issued in CA
Practice address
425 E Colorado St Ste 420
Glendale, CA 91205-5123
Phone
(818) 502-1341
Fax
(909) 494-7649
NPI assigned
Aug 22, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017032 CA
Family Nurse Practitioner 363LF0000X 95017032 CA Primary
Registered Nurse 163W00000X 95123684 CA

Addresses

Primary practice location

425 E Colorado St Ste 420
Glendale, CA 91205-5123

Mailing address

425 E Colorado St Ste 420
Glendale, CA 91205-5123
Phone (818) 502-1341

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95123684CAMDRegistered Nurse
95017032CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Planning Associates Medical Group Inc CurrentSince Aug 28, 2022 Accepting new patients
Family Planning Associates Medical Group Inc CurrentSince Aug 28, 2022 Accepting new patients

Locations

425 E Colorado St
Ste 420
Glendale, CA 91205
Phone (818) 502-1341

Interoperability endpoints

  • Direct secure messaging: ani.geghamyan.p1@direct.fpawomenshealth.nextgenshare.com

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1447978721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E COLORADO ST STE 420",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055123",
            "telephone_number": "818-502-1341",
            "fax_number": "909-494-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E COLORADO ST STE 420",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055123",
            "telephone_number": "818-502-1341",
            "fax_number": "909-494-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEGHAMYAN",
        "first_name": "ANI",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017032",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95123684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.