Serzh Boynagiryan, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95028967 Issued in CA

Practice address

1241 S Glendale Ave Ste 201
Glendale, CA 91205-3388

Phone

(424) 489-1537

Fax

(818) 500-0509

NPI assigned

Feb 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1932964970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053388",
            "telephone_number": "424-489-1537",
            "fax_number": "818-500-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053388",
            "telephone_number": "424-489-1537",
            "fax_number": "818-500-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNAGIRYAN",
        "first_name": "SERZH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95273871",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95028967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilda Boyadjian
• Zareh George Boyadjian
• Leza Boyagian
• Wayne Boyd
• Emma Boyles
• Vahram Boynagiryan, PHARMD
• Holger Ernst Bracht, D.O.
• Susana Stephanie Bracks, ACSW
• Antigone Braddock
• Bradley J. Aguirre D.P.M.,P.C.

• Primary Care Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.