NPIMap

Individual provider Active NPI

Liana Marina Gevorkian

  • Acute Care Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1902455215
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95012550 Issued in CA
Practice address
500 N Central Ave Ste 900
Glendale, CA 91203-3346
Phone
(818) 662-6950
NPI assigned
Sep 9, 2019
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95012550 CA Primary
Adult Health Nurse Practitioner 363LA2200X 95012550 CA

Addresses

Primary practice location

500 N Central Ave Ste 900
Glendale, CA 91203-3346

Mailing address

9310 Hillrose St
Shadow Hills, CA 91040-1768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200505002987 CA Practitioner - Nurse Practitioner 3779914809 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Village Health Clinic PCGroup PAC ID 4880076215, 5 clinicians

Practice addresses (Care Compare)

12626 Riverside Dr
Suite 301
Valley Village, CA 91607-3473
Phone (818) 452-9266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95012550CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Menalam Health Services PC Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Menalam Health Services PC Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Oct 11, 2021 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Oct 11, 2021 Accepting new patients
Galen Inpatient Physicians, PC Single Specialty Current Accepting new patients
Valley Village Health Clinic PC Single Specialty CurrentSince Dec 1, 2023 Accepting new patients
West Hills Hospital Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Sports Medicine Grant, Inc Single Specialty Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

12626 Riverside Dr
Ste 301
Valley Vlg, CA 91607
Phone (818) 452-9266

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: liana.gevorkian@481179541897220.direct.elationemr.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1902455215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 HILLROSE ST",
            "city": "SHADOW HILLS",
            "state": "CA",
            "postal_code": "910401768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 900",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033346",
            "telephone_number": "818-662-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEVORKIAN",
        "first_name": "LIANA",
        "middle_name": "MARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95012550",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95012550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.