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SAMUEL T GRIGORYAN NP
NPI 1881189892
Registered Nurse - Psychiatric/Mental Health in Laguna Niguel, CA

Active since June 22, 2018PECOS EnrolledAccepts Medicare Assignment
29982 IVY GLENN DR STE 203, LAGUNA NIGUEL, CA 92677(949) 309-7903(949) 716-5243 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2023, Mar 20, 2023, Jun 22, 2018 (3 updates tracked since 2018).

About Samuel T Grigoryan Np NPPES

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

SAMUEL T GRIGORYAN NP (NPI 1881189892) is an individual psychiatric/mental health provider in Laguna Niguel, California, licensed in California (95165516) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881189892
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameSAMUEL T GRIGORYANCredential: NP
Location Address29982 IVY GLENN DR STE 203Laguna Niguel, CA 92677-2097
Mailing Address1437 E Escalon AveFresno, CA 93710-5734 · (559) 495-8706
Phone(949) 309-7903
Fax(949) 716-5243
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 22, 2018
Last NPPES UpdateMay 15, 20233 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1881189892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CA · 95165516
29982 IVY GLENN DR STE 203, Laguna Niguel, CA 92677
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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

Samuel T Grigoryan 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 ID6608234059
PECOS Enrollment IDI20230616002804
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 4

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.
322 services64 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
280 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
132 services38 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
19 services19 patients

Other Providers at the Same Location NPPES 2

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

VINESSA GAERLAN-FINCH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
29982 IVY GLENN DR STE 203
LAGUNA NIGUEL, CA 92677
Orange County (949) 309-7903
ANGELA GOODYEAR HERNANDEZ
Nurse Practitioner (Psychiatric/Mental Health)
29982 IVY GLENN DR STE 203
LAGUNA NIGUEL, CA 92677
Orange County (949) 309-7903

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 Samuel Grigoryan's NPI number?

The NPI number for Samuel Grigoryan is 1881189892. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is Samuel Grigoryan located?

Samuel Grigoryan practices at 29982 Ivy Glenn Dr Ste 203, Laguna Niguel, CA 92677. The listed phone number is (949) 309-7903.

What is Samuel Grigoryan's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Samuel Grigoryan enrolled in Medicare?

Yes. Samuel Grigoryan 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 Samuel Grigoryan was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.