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

Diana I Iazichyan

Individual provider Nurse Practitioner · NPI 1508460833

Diana I Iazichyan is a Nurse Practitioner in Granada Hills, California. Qualified in 2020, 6 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

17117 Tribune St
Granada Hills, CA 91344-4938
Phone: (818) 983-3360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95016074 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95016074 (CA)

Record details

NPI number1508460833
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 27, 2020
Last updated in NPPESNovember 29, 2020
Certification dateNovember 29, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Granada Hills