Individual provider Active NPI

Mihran Grigoryan, NP-C

  • Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1902620370
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95032940 Issued in CA
Practice address
730 S Central Ave Ste 211-B
Glendale, CA 91204-2061
Phone
(818) 660-0068
Fax
(818) 660-0086
NPI assigned
Nov 13, 2024
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95032940 CA Primary

Addresses

Primary practice location

730 S Central Ave Ste 211-B
Glendale, CA 91204-2061

Mailing address

730 S Central Ave Ste 211-B
Glendale, CA 91204-2061
Phone (818) 660-0068

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
I20241202003619 CA Order and Referring Only - Nurse Practitioner 9537593553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Careone Healthcare Group Inc CurrentSince Jun 15, 2025 Accepting new patients
L & G Adult Day Health Care Center Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

730 S Central Ave
Ste 211B
Glendale, CA 91204
Phone (818) 660-0068

16430 Vanowen St
Ste 207A
Van Nuys, CA 91406

Organizations & group practices 2

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": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1902620370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S CENTRAL AVE STE 211-B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042061",
            "telephone_number": "818-660-0068",
            "fax_number": "818-660-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S CENTRAL AVE STE 211-B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042061",
            "telephone_number": "818-660-0068",
            "fax_number": "818-660-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORYAN",
        "first_name": "MIHRAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-13",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95032940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.