DIANA AKHVERDYAN (AGNP) – Adult Health Nurse Practitioner, NPI 1669178661

DIANA AKHVERDYAN (AGNP) is a healthcare provider. based in Van nuys, California. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP. They hold a License No. 95024109 (CA). The NPI Number for DIANA AKHVERDYAN (AGNP) is 1669178661

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DIANA AKHVERDYAN (AGNP)
NPI
1669178661
Phone
(818) 259-7070
Address
4955 VAN NUYS BLVD STE 308
Enumeration Date
1 February 2023
Last Update Date
13 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8183876114
Graduation Year
2022 (4 years ago)
PAC ID
0244694040
Group Practice PAC ID
4587109913
Professional Enrollment ID
I20240701003725
Address ID
CA914031811SH4955XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for DIANA AKHVERDYAN (AGNP)

  • 4955 VAN NUYS BLVD STE 308

    VAN NUYS, CA 914031811

    Phone: (818) 259-7070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240701003725INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587109913View full group profile
NameSpecialtyState
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Family PracticeCA
Internal MedicineCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What number should I use to identify DIANA AKHVERDYAN (AGNP) for billing?
Administrative and clinical systems typically use NPI 1669178661 for DIANA AKHVERDYAN (AGNP).
Is DIANA AKHVERDYAN (AGNP) currently accepting referrals based on NPI status?
Registry metadata lists DIANA AKHVERDYAN (AGNP) as active.
What does the directory say DIANA AKHVERDYAN (AGNP) does?
Insurance directories may phrase it differently, but here DIANA AKHVERDYAN (AGNP) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit DIANA AKHVERDYAN (AGNP) in Van Nuys, California?
For routing, start with Van Nuys, California for DIANA AKHVERDYAN (AGNP), then verify phone and hours locally.
Why is information missing for DIANA AKHVERDYAN (AGNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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