LOIDA MANSOURIAN NP
NPI 1104760677
Nurse Practitioner - Adult Health in Glendale, CA
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
Specialties & Licenses
Group Practice 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Loida Mansourian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arcadia, CA 91007
- Reassigned Medicare billing, California enrollment
- 11 clinicians in this Medicare group
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 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.
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.
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.
Which organization bills Medicare for Loida Mansourian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Loida Mansourian reassigns Medicare benefits to Karefirst Nursing California PC (Arcadia, 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 Loida Mansourian'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 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 6 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.
# Loida Mansourian, NP · NPI 1104760677
Adult Health physician in Glendale, California. Individual provider, active in the CMS NPPES registry since April 16, 2026.
## Identity
- **NPI:** 1104760677 (Entity type: Individual)
- **Enumerated:** April 16, 2026
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** NP95039051 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 409 W GLENOAKS BLVD, Glendale, CA 91202-2916
- **Phone:** (818) 240-4300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Karefirst Nursing California PC (NPI 1578455986, Arcadia, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104760677) · Data from the CMS NPPES public registry.