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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHANNA BAZAN
NPI 1851135941
Nurse Practitioner - Family in Glendale, CA

Active since June 24, 2024
1509 WILSON TER, GLENDALE, CA 91206(818) 863-4366 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 11, 2026, Jun 24, 2024 (2 updates tracked since 2024).

About Johanna Bazan NPPES

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

JOHANNA BAZAN (NPI 1851135941) is an individual family provider in Glendale, California, licensed in California (95202408) and active in the NPI registry since June 2024. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1851135941
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOHANNA BAZAN
Location Address1509 WILSON TERGlendale, CA 91206-4007
Mailing Address1509 Wilson TerGlendale, CA 91206-4007
Phone(818) 863-4366
Sole ProprietorNo
Enumeration DateJune 24, 2024
Last NPPES UpdateSeptember 11, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1851135941 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 · 95202408
1509 WILSON TER, Glendale, CA 91206
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Secondary Practice Location 1

Location 15059 York BlvdLos Angeles, CA 90042-1713 · Phone (818) 434-4847

Other Providers at the Same Location NPPES 20

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

BAINA JENNY BAROUNI DO
Family Medicine
1509 WILSON TER
GLENDALE, CA 91206
Los Angeles County (818) 409-8000
CHERYL LEE JANG M.D.
Emergency Medicine
1509 WILSON TER, EMERGENCY DEPARTMENT
GLENDALE, CA 91206
Los Angeles County (818) 863-4000
VARNER E. DUDLEY, III, M.D., INC
Anesthesiology
1509 WILSON TER
GLENDALE, CA 91206
Los Angeles County (818) 409-8000
NINET GHARIBIANSAKI
Pharmacist
1509 WILSON TER
GLENDALE, CA 91206
Los Angeles County (818) 409-8183
DR. JANE KYUN LEE PHARMD
Pharmacist
1509 WILSON TER
GLENDALE, CA 91206
Los Angeles County (818) 409-8000
MELINE GHAZARYAN DO
Student in an Organized Health Care Education/Training Program
1509 WILSON TER
GLENDALE, CA 91206
Los Angeles County (818) 409-8000
DR. JOSE A OSPINA MD, PHD
Radiology (Diagnostic Radiology)
1509 WILSON TER
GLENDALE, CA 91206
Los Angeles County (818) 409-8000
KARTIK KANSAGRA
Radiology (Vascular & Interventional Radiology)
1509 WILSON TER
GLENDALE, CA 91206
Los Angeles County (818) 409-8000

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 Johanna Bazan's NPI number?

The NPI number for Johanna Bazan is 1851135941. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Johanna Bazan located?

Johanna Bazan practices at 1509 Wilson Ter, Glendale, CA 91206. The listed phone number is (818) 863-4366.

What is Johanna Bazan's specialty?

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

When was this NPI record last updated?

The NPPES record for Johanna Bazan was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.