DIANA I IAZICHYAN
NPI 1508460833
Nurse Practitioner - Family in Granada Hills, CA

Active since November 27, 2020PECOS EnrolledAccepts Medicare Assignment
17117 TRIBUNE ST, GRANADA HILLS, CA 91344(818) 983-3360 Get Directions Write a Review

NPPES record last updated: November 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diana I Iazichyan NPPES

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

DIANA I IAZICHYAN (NPI 1508460833) is an individual family provider in Granada Hills, California, licensed in California (95016074) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508460833
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANA I IAZICHYAN
Location Address17117 TRIBUNE STGranada Hills, CA 91344-4938
Mailing Address17117 Tribune StGranada Hills, CA 91344-4938 · (818) 983-3360
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 27, 2020
Last NPPES UpdateNovember 29, 2020
NPPES CertifiedNovember 29, 2020
NPI 1508460833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95016074
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95016074 (CA)
17117 TRIBUNE ST, Granada Hills, CA 91344

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

Diana I Iazichyan 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 ID7315322674
PECOS Enrollment IDI20230519000631
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91344 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 Diana Iazichyan's NPI number?

The NPI number for Diana Iazichyan is 1508460833. It was assigned to this individual provider in the NPPES registry on November 27, 2020.

Where is Diana Iazichyan located?

Diana Iazichyan practices at 17117 Tribune St, Granada Hills, CA 91344. The listed phone number is (818) 983-3360.

What is Diana Iazichyan's specialty?

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

Is Diana Iazichyan enrolled in Medicare?

Yes. Diana Iazichyan 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 Diana Iazichyan was last updated on November 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.