Individual provider Active NPI

Anais Yeghyaian, NP

  • Primary Care Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1790553675
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95027245 Issued in CA
Practice address
1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199
Phone
(818) 827-3898
Fax
(818) 827-3897
NPI assigned
Dec 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 95027245 CA Primary

Addresses

Primary practice location

1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199

Mailing address

1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199
Phone (818) 827-3898

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
I20240611002117 CA Practitioner - Nurse Practitioner 7416499009 Reassigns benefits to 1 organization

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
Badr Medical CorporationGroup PAC ID 4183855083, 5 clinicians

Practice addresses (Care Compare)

1500 E Chevy Chase Dr
Suite 204
Glendale, CA 91206-4152
Phone (818) 827-3898

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

National Provider Directory

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

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Badr Medical Corporation CurrentSince Mar 25, 2024 Accepting new patients

Locations

1500 E Chevy Chase Dr
Ste 204
Glendale, CA 91206
Phone (818) 243-1501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1790553675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064199",
            "telephone_number": "818-827-3898",
            "fax_number": "818-827-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064199",
            "telephone_number": "818-827-3898",
            "fax_number": "818-827-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGHYAIAN",
        "first_name": "ANAIS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95027245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.