Individual provider Active NPI

Irina Ayrapetyan

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1720837362
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95024820 Issued in CA
Practice address
5015 Eagle Rock Blvd Ste 205
Los Angeles, CA 90041-2087
Phone
(747) 300-7541
Fax
(818) 471-4287
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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 95024820 CA Primary

Addresses

Primary practice location

5015 Eagle Rock Blvd Ste 205
Los Angeles, CA 90041-2087

Mailing address

6419 Kraft Ave
North Hollywood, CA 91606-2624

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
I20250512003119 CA Practitioner - Nurse Practitioner 2163949231 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95024820CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Alliance Medical Group, Inc Primary Care CurrentSince Apr 21, 2025 Accepting new patients

Locations

105 W Alameda Ave
Ste 210
Burbank, CA 91502
Phone (818) 588-3588

644 W Broadway
Ste 114
Glendale, CA 91204
Phone (818) 334-3858

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1720837362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 KRAFT AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 EAGLE ROCK BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412087",
            "telephone_number": "747-300-7541",
            "fax_number": "818-471-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRAPETYAN",
        "first_name": "IRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95024820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.