Individual provider Active NPI

Mane Shamiryan, MSN, FNP-C

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1518504216
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012962 Issued in CA
Practice address
2130 Chester Ave Ste 102
Bakersfield, CA 93301-4472
Phone
(866) 987-5373
NPI assigned
Dec 2, 2019
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95012962 CA Primary

Addresses

Primary practice location

2130 Chester Ave Ste 102
Bakersfield, CA 93301-4472

Mailing address

275 W Kenneth Rd
Glendale, CA 91202-1458
Phone (818) 404-0081

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)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95012962CAMDFamily Nurse Practitioner
95039400CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rabin Nikjoo, M.D., Inc. Single Specialty CurrentSince Mar 1, 2022 Accepting new patients
Divinity Hospice PastSince Dec 5, 2021 Accepting new patients
Heavenly Angel Hospice Inc PastSince Jun 22, 2020 Accepting new patients

Locations

18751 Ventura Blvd
Ste 100
Tarzana, CA 91356
Phone (818) 213-1693

Organizations & group practices 3

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": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1518504216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W KENNETH RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021458",
            "telephone_number": "818-404-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 CHESTER AVE STE 102",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014472",
            "telephone_number": "866-987-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMIRYAN",
        "first_name": "MANE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.