Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Moradian

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1386350775

Anthony Moradian is a Nurse Practitioner in Los Angeles, California. Qualified in 2022, 4 years ago. Practices with Mark Enterprises MD Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
Specialties on file
4
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Practice location Address checks out

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone: (323) 233-0425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95023929 (CA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 95217062 (CA)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 95217062 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95023929 (CA)

Record details

NPI number1386350775
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 30, 2023
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mark Enterprises Md Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Los Angeles