Individual provider Active NPI

Ani Kanian

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1649964081
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021110 Issued in CA
Practice address
1505 Wilson Ter Ste 370
Glendale, CA 91206-4000
Phone
(818) 630-8680
NPI assigned
Jun 7, 2023
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 95021110 CA Primary

Addresses

Primary practice location

1505 Wilson Ter Ste 370
Glendale, CA 91206-4000

Mailing address

1505 Wilson Ter Ste 370
Glendale, CA 91206-4000
Phone (818) 630-8680

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
I20230920004288 CA Practitioner - Nurse Practitioner 4880048131 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

1500 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4199
Phone (818) 863-4099

1505 Wilson Ter
Suite 130
Glendale, CA 91206-4074
Phone (818) 409-8215

1505 Wilson Ter
Suite 370
Glendale, CA 91206-4000
Phone (818) 630-8680

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

2750 Sycamore Dr
Simi Valley, CA 93065-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95021110CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 16, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 16, 2023 Accepting new patients
Glendale Adventist Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Glendale Adventist Medical Center CurrentSince Oct 1, 2025 Accepting new patients

Locations

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

1500 E Chevy Chase Dr
Ste 401
Glendale, CA 91206
Phone (818) 863-4444

1505 Wilson Ter
Ste 370
Glendale, CA 91206
Phone (661) 550-0002

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1649964081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 370",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064000",
            "telephone_number": "818-630-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 370",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064000",
            "telephone_number": "818-630-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANIAN",
        "first_name": "ANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.