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SIRANUSH GRIGORYAN
NPI 1093582546
Nurse Practitioner - Family in Pacoima, CA

Active since December 05, 2023PECOS EnrolledAccepts Medicare Assignment
13630 VAN NUYS BLVD, PACOIMA, CA 91331(747) 888-2584 Get Directions Write a Review

NPPES record last updated: March 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 16, 2025, Dec 5, 2023 (2 updates tracked since 2023).

About Siranush Grigoryan NPPES

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

SIRANUSH GRIGORYAN (NPI 1093582546) is an individual family provider in Pacoima, California, licensed in California (95034155) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1093582546
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSIRANUSH GRIGORYAN
Location Address13630 VAN NUYS BLVDPacoima, CA 91331-3600
Mailing Address12812 Oxnard StN Hollywood, CA 91606-4315 · (747) 888-2584
Phone(747) 888-2584
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 5, 2023
Last NPPES UpdateMarch 16, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1093582546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95034155
13630 VAN NUYS BLVD, Pacoima, CA 91331
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Siranush Grigoryan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385157965
PECOS Enrollment IDI20250627000818
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 Reassignments

2

Medicare enrollment records show Siranush Grigoryan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinica Medica Pacoima
Same address
Internal Medicine
13630 VAN NUYS BLVD STE 107
Pacoima, CA 91331
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1649038985 (747) 777-6099
Carepath Medical Group Inc
12 mi
Primary Care
401 N BRAND BLVD STE 814
Glendale, CA 91203
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1851085948 (747) 297-2020

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 91331 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.

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 Siranush Grigoryan's NPI number?

The NPI number for Siranush Grigoryan is 1093582546. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Siranush Grigoryan located?

Siranush Grigoryan practices at 13630 Van Nuys Blvd, Pacoima, CA 91331. The listed phone number is (747) 888-2584.

What is Siranush Grigoryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Siranush Grigoryan enrolled in Medicare?

Yes. Siranush Grigoryan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Siranush Grigoryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siranush Grigoryan reassigns Medicare benefits to 2 organizations: Clinica Medica Pacoima (Pacoima, CA) and Carepath Medical Group Inc (Glendale, CA). Each 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 Siranush Grigoryan'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 Siranush Grigoryan was last updated on March 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.