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LOIDA MANSOURIAN NP
NPI 1104760677
Nurse Practitioner - Adult Health in Glendale, CA

Active since April 16, 2026PECOS EnrolledAccepts Medicare Assignment
409 W GLENOAKS BLVD, GLENDALE, CA 91202(818) 240-4300 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, Apr 16, 2026 (2 updates tracked since 2026).

About Loida Mansourian Np NPPES

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

LOIDA MANSOURIAN NP (NPI 1104760677) is an individual adult health provider in Glendale, California, licensed in California (NP95039051) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104760677
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLOIDA MANSOURIANCredential: NP
Location Address409 W GLENOAKS BLVDGlendale, CA 91202-2916
Mailing Address6348 N Milwaukee Ave Ste 390Chicago, IL 60646-3728 · (847) 235-6130 · Fax (847) 235-6135
Phone(818) 240-4300
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 16, 2026
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1104760677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · NP95039051
409 W GLENOAKS BLVD, Glendale, CA 91202
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Loida Mansourian Np 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 ID6800364340
PECOS Enrollment IDI20260504006353
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91202 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 3

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

DAKOTA MEDICAL INC.
Skilled Nursing Facility
409 W GLENOAKS BLVD
GLENDALE, CA 91202
Los Angeles County (818) 240-4300
KIMBERLY C. ROSS MD, MBA
Physical Medicine & Rehabilitation
409 W GLENOAKS BLVD
GLENDALE, CA 91202
Los Angeles County (872) 231-3162
GOLDEN HAVEN CARE CENTER LLC
Skilled Nursing Facility
409 W GLENOAKS BLVD
GLENDALE, CA 91202
Los Angeles County (818) 240-4300

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 Loida Mansourian's NPI number?

The NPI number for Loida Mansourian is 1104760677. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Loida Mansourian located?

Loida Mansourian practices at 409 W Glenoaks Blvd, Glendale, CA 91202. The listed phone number is (818) 240-4300.

What is Loida Mansourian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Loida Mansourian enrolled in Medicare?

Yes. Loida Mansourian 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.

When was this NPI record last updated?

The NPPES record for Loida Mansourian was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.