Individual provider Active NPI

Susan Bayamdzhyan

  • Family Nurse Practitioner
  • Northridge, CA
National Provider Identifier
1487412912
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029372 Issued in CA
Practice address
17114 Devonshire St Ste 200
Northridge, CA 91325-1687
Phone
(818) 646-1771
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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 95029372 CA Primary

Addresses

Primary practice location

17114 Devonshire St Ste 200
Northridge, CA 91325-1687

Mailing address

17114 Devonshire St Ste 200
Northridge, CA 91325-1687
Phone (818) 646-1771

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
I20240624004182 CA Practitioner - Nurse Practitioner 7416490099 Reassigns benefits to 3 organizations

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
All-Inclusive Community Health CenterGroup PAC ID 5294905006, 12 clinicians
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

17114 Devonshire St
Suite 200
Northridge, CA 91325-1619
Phone (818) 646-1771

18460 Roscoe Blvd
Suite 100
Northridge, CA 91325-4107
Phone (818) 717-3110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
All for Health Health for All Inc Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 9, 2025 Accepting new patients
All for Health Health for All Inc CurrentSince Jun 1, 2025 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 9, 2025 Accepting new patients
All-Inclusive Community Health Center CurrentSince Nov 20, 2025 Accepting new patients
J M Geiss DO Apc CurrentSince Jun 17, 2024 Accepting new patients
All for Health Health for All Inc CurrentSince Jun 1, 2025 Accepting new patients
California PHS PC CurrentSince Jun 17, 2024 Accepting new patients

Locations

401 S Glenoaks Blvd
Ste 101
Burbank, CA 91502
Phone (818) 748-1740

1311 N San Fernando Blvd
Burbank, CA 91504
Phone (818) 843-9900

1420 E Palomar St
Chula Vista, CA 91913

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

17114 Devonshire St
Ste 200
Northridge, CA 91325
Phone (818) 646-1771

18460 Roscoe Blvd
Ste 100
Northridge, CA 91325
Phone (818) 717-3110

18460 Roscoe Blvd
Fl 2
Northridge, CA 91325
Phone (818) 885-5480

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
  • Direct secure messaging: susan.bayamdzhyannp.p1@direct.afh.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1487412912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17114 DEVONSHIRE ST STE 200",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251687",
            "telephone_number": "818-646-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17114 DEVONSHIRE ST STE 200",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251687",
            "telephone_number": "818-646-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYAMDZHYAN",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.