Individual provider Active NPI

Olivia Graza, FNP

  • Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1679348833
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95026183 Issued in CA
Practice address
201 S Buena Vista St Ste 238
Burbank, CA 91505-4576
Phone
(818) 325-2088
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95026183 CA Primary

Addresses

Primary practice location

201 S Buena Vista St Ste 238
Burbank, CA 91505-4576

Mailing address

436 E Palm Ave Apt 203
Burbank, CA 91501-2075

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
I20250304003121 CA Practitioner - Nurse Practitioner 3274054481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

201 S Buena Vista St
Suite 238
Burbank, CA 91505-4576
Phone (818) 325-2088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95026183CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
R Ajakwe MD and R Tatevossian MD a Professional Medical Corporation CurrentSince Dec 27, 2024 Accepting new patients
Alexander S Tovar MD a Professional Corporation Past Accepting new patients

Locations

201 S Buena Vista St
Ste 238
Burbank, CA 91505
Phone (818) 325-2088

1000 N Central Ave
Ste 270
Glendale, CA 91202

1000 N Central Ave
Ste 210
Glendale, CA 91202
Phone (818) 325-2088

39 Congress St
Ste 303
Pasadena, CA 91105
Phone (626) 440-5900

Interoperability endpoints

  • Direct secure messaging: olivia.graza@1781.securemail.prognocis.com

Organizations & group practices 2

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 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": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1679348833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E PALM AVE APT 203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 238",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054576",
            "telephone_number": "818-325-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZA",
        "first_name": "OLIVIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95026183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.