Individual provider Active NPI

Ani Minasyan, FNP-C

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1467225169
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022908 Issued in CA
Practice address
1560 E Chevy Chase Dr Ste 400
Glendale, CA 91206-4159
Phone
(818) 405-5040
NPI assigned
Nov 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 95022908 CA Primary

Addresses

Primary practice location

1560 E Chevy Chase Dr Ste 400
Glendale, CA 91206-4159

Mailing address

8043 Via Latina
Burbank, CA 91504-1523

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
I20231212002749 CA Practitioner - Nurse Practitioner 7315396611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Gregory Heart and Vascular Center IncGroup PAC ID 2264801497, 3 clinicians

Practice addresses (Care Compare)

1560 E Chevy Chase Dr
Suite 400
Glendale, CA 91206-4197
Phone (818) 405-5040

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Gregory Heart and Vascular Center, Inc. CurrentSince Nov 19, 2023 Accepting new patients

Locations

2701 W Alameda Ave
Ste 602
Burbank, CA 91505
Phone (818) 562-7374

1560 E Chevy Chase Dr
Ste 400
Glendale, CA 91206
Phone (818) 405-5040

1701 E Cesar E Chavez Ave
Ste 403
Los Angeles, CA 90033
Phone (323) 222-0137

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fe81ea45-4e0e-4dc1-a82a-ac3412315182/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1467225169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8043 VIA LATINA",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DR STE 400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064159",
            "telephone_number": "818-405-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINASYAN",
        "first_name": "ANI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.