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ANI BOYADZHYAN
NPI 1801752555
Nurse Practitioner - Family in Van Nuys, CA

Active since December 26, 2025PECOS Enrolled
6560 BLEWETT AVE, VAN NUYS, CA 91406(213) 507-4386 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ani Boyadzhyan NPPES

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

ANI BOYADZHYAN (NPI 1801752555) is an individual family provider in Van Nuys, California, licensed in California (95038055) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1801752555
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANI BOYADZHYAN
Location Address6560 BLEWETT AVEVan Nuys, CA 91406-6008
Mailing Address6560 Blewett AveVan Nuys, CA 91406-6008 · (213) 507-4386
Phone(213) 507-4386
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 26, 2025
NPPES CertifiedDecember 26, 2025
✔ NPI 1801752555 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 · 95038055
6560 BLEWETT AVE, Van Nuys, CA 91406
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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)

Ani Boyadzhyan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456832260
PECOS Enrollment IDI20260219003084
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 Ani Boyadzhyan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mvp Medical Group-A Professional Nursing Corporation
7.7 mi
Family Medicine
3100 W BURBANK BLVD STE 105
Burbank, CA 91505
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
NPI 1902651292 (818) 405-7764

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 91406 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 Ani Boyadzhyan's NPI number?

The NPI number for Ani Boyadzhyan is 1801752555. It was assigned to this individual provider in the NPPES registry on December 26, 2025.

Where is Ani Boyadzhyan located?

Ani Boyadzhyan practices at 6560 Blewett Ave, Van Nuys, CA 91406. The listed phone number is (213) 507-4386.

What is Ani Boyadzhyan's specialty?

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

Is Ani Boyadzhyan enrolled in Medicare?

Yes. Ani Boyadzhyan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ani Boyadzhyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ani Boyadzhyan reassigns Medicare benefits to Mvp Medical Group-A Professional Nursing Corporation (Burbank, 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 Ani Boyadzhyan'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 Ani Boyadzhyan was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.