Individual provider Active NPI

Armine Avakian, NP

  • Women's Health Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1548849631
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95015748 Issued in CA
Practice address
425 E Colorado St Ste 420
Glendale, CA 91205-5123
Phone
(818) 502-1341
NPI assigned
Apr 6, 2021
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X 95015748 CA Primary

Addresses

Primary practice location

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

Mailing address

2031 Buckingham PL
Glendale, CA 91206-1402
Phone (310) 614-2424

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
I20260121004356 CA Practitioner - Nurse Practitioner 6204313240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3959 Foothill Blvd
Suite 204
La Crescenta, CA 91214-1664

96 N Madison Ave
Pasadena, CA 91101-1740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95015748CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Wound Care a Medical Corporation Multi-Specialty CurrentSince Oct 27, 2025 Accepting new patients

Locations

96 N Madison Ave
Pasadena, CA 91101
Phone (626) 376-4439

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, 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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1548849631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 BUCKINGHAM PL",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061402",
            "telephone_number": "310-614-2424"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAKIAN",
        "first_name": "ARMINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95015748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.