Individual provider Active NPI

Seda Lynette Oganyan, FNP

  • Primary Care Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1699522102
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95228582 Issued in CA
Practice address
1141 N Brand Blvd Ste 400
Glendale, CA 91202-2583
Phone
(818) 247-9717
Fax
(818) 247-9760
NPI assigned
May 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95228582 CA Primary

Addresses

Primary practice location

1141 N Brand Blvd Ste 400
Glendale, CA 91202-2583

Mailing address

1141 N Brand Blvd Ste 400
Glendale, CA 91202-2583
Phone (818) 247-9717

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
I20260113002971 CA Practitioner - Nurse Practitioner 6507342144 Reassigns benefits to 2 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
Infinity Mobile Medical GroupGroup PAC ID 7214466374, 20 clinicians

Practice addresses (Care Compare)

17337 Ventura Blvd
Suite 220
Encino, CA 91316-4039
Phone (818) 418-4440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95228582CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physicians Medical Allied Group Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

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.

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1699522102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD STE 400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022583",
            "telephone_number": "818-247-9717",
            "fax_number": "818-247-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD STE 400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022583",
            "telephone_number": "818-247-9717",
            "fax_number": "818-247-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGANYAN",
        "first_name": "SEDA",
        "middle_name": "LYNETTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95228582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.