Individual provider Active NPI

Anna Nahapetyan

  • Family Nurse Practitioner
  • Glendora, CA
National Provider Identifier
1811876014
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034154 Issued in CA
Practice address
1200 E Route 66 Ste 1025
Glendora, CA 91740-6377
Phone
(213) 261-4978
NPI assigned
Sep 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 95034154 CA Primary

Addresses

Primary practice location

1200 E Route 66 Ste 1025
Glendora, CA 91740-6377

Mailing address

1200 E Route 66 Ste 1025
Glendora, CA 91740-6377
Phone (213) 261-4978

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
I20260107001999 CA Practitioner - Nurse Practitioner 7214413566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
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
95034154CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Mobile Medical Group CurrentSince Oct 2, 2025 Accepting new patients

Locations

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

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
White Guardian Home Health Care IncVan Nuys, CA, CCN 757872 Home health agency W-2 Managing Employee May 1, 2026

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1811876014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E ROUTE 66 STE 1025",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406377",
            "telephone_number": "213-261-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E ROUTE 66 STE 1025",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406377",
            "telephone_number": "213-261-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHAPETYAN",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.