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CARLY ROSE DEVIRIAN
NPI 1083248942
Nurse Practitioner - Pediatrics in Los Angeles, CA

Active since February 28, 2020PECOS Enrolled
808 W 58TH ST, LOS ANGELES, CA 90037(323) 541-1411 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2020, Feb 28, 2020 (2 updates tracked since 2020).

About Carly Rose Devirian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY ROSE DEVIRIAN (NPI 1083248942) is an individual pediatrics provider in Los Angeles, California, licensed in California (95013513) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083248942
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCARLY ROSE DEVIRIAN
Location Address808 W 58TH STLos Angeles, CA 90037-3632
Mailing Address808 W 58th StLos Angeles, CA 90037-3632 · (310) 560-8570
Phone(323) 541-1411
Sole ProprietorNo
Enumeration DateFebruary 28, 2020
Last NPPES UpdateJuly 10, 20202 updates tracked since enumeration
NPPES CertifiedJuly 10, 2020
✔ NPI 1083248942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95013513
808 W 58TH ST, Los Angeles, CA 90037
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Rose Devirian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carly Devirian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tammira Medical PC
26 mi
Child & Adolescent Psychiatry
15446 BROOKHURST ST
Westminster, CA 92683
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1336079490 (213) 632-8055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY SUE TOWNS APRN
Nurse Practitioner (Women's Health)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1400
DAVID K YOO NP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1411
GABRIELLA OLOYE RN, FNP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1141
KIMI YAMAMOTO
Dentist (Orofacial Pain)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 285-9830
DR. SAGHAR SABER M.D
Internal Medicine (Infectious Disease)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1411
INGEBORG WESTIEN MD
Pediatrics
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600
KEISHA NERISE CONWRIGHT FNP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600
DR. DEANDRA NICHELLE TURNER D.D.S.
Dentist (Pediatric Dentistry)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Devirian's NPI number?

The NPI number for Carly Devirian is 1083248942. It was assigned to this individual provider in the NPPES registry on February 28, 2020.

Where is Carly Devirian located?

Carly Devirian practices at 808 W 58th St, Los Angeles, CA 90037. The listed phone number is (323) 541-1411.

What is Carly Devirian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Carly Devirian enrolled in Medicare?

Yes. Carly Devirian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Devirian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Devirian reassigns Medicare benefits to Tammira Medical PC (Westminster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Devirian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carly Devirian was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.