Individual provider Active NPI

Mari Sagryan, FNP

  • Family Nurse Practitioner
  • North Hollywood, CA
National Provider Identifier
1942743075
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024991 Issued in CA
Practice address
6801 Coldwater Canyon Ave
Suite 1B
North Hollywood, CA 91605-5162
Phone
(818) 763-1718
Fax
(818) 763-7231
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95103506 CA
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95024991 CA Primary

Addresses

Primary practice location

6801 Coldwater Canyon Ave
Suite 1B
North Hollywood, CA 91605-5162

Mailing address

6801 Coldwater Canyon Ave
Suite 1B
North Hollywood, CA 91605-5162
Phone (818) 763-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95103506CAMDRegistered Nurse
95024991CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Hands Health Care Current Accepting new patients
Valley Community Healthcare Single Specialty PastSince Mar 23, 2007 Accepting new patients
Valley Community Healthcare Past Accepting new patients

Organizations & group practices 3

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": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1942743075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 COLDWATER CANYON AVE",
            "address_2": "SUITE 1B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055162",
            "telephone_number": "818-763-1718",
            "fax_number": "818-763-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 COLDWATER CANYON AVE",
            "address_2": "SUITE 1B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055162",
            "telephone_number": "818-763-1718",
            "fax_number": "818-763-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGRYAN",
        "first_name": "MARI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95103506",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.