Individual provider Active NPI

Ani Boyadzhyan

  • Family Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1801752555
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95038055 Issued in CA
Practice address
6560 Blewett Ave
Van Nuys, CA 91406-6008
Phone
(213) 507-4386
NPI assigned
Dec 26, 2025
Last updated
Dec 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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 95038055 CA Primary

Addresses

Primary practice location

6560 Blewett Ave
Van Nuys, CA 91406-6008

Mailing address

6560 Blewett Ave
Van Nuys, CA 91406-6008
Phone (213) 507-4386

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
I20260219003084 CA Practitioner - Nurse Practitioner 1456832260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3629 W Savanna St
Apt 304
Anaheim, CA 92804-8626

6560 Blewett Ave
Van Nuys, CA 91406-6008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95038055CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Medical Group-a Professional Nursing Corporation CurrentSince Jan 1, 2026 Accepting new patients

Locations

3100 W Burbank Blvd
Ste 105
Burbank, CA 91505
Phone (562) 313-8090

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Perfect Home CareBurbank, CA, CCN 757403 Home health agency W-2 Managing Employee Apr 4, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1801752555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 BLEWETT AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914066008",
            "telephone_number": "213-507-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 BLEWETT AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914066008",
            "telephone_number": "213-507-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYADZHYAN",
        "first_name": "ANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95038055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.