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

Jasmine Petrosyan

Individual provider Primary Care Nurse Practitioner · NPI 1558717314

Jasmine Petrosyan is a Nurse Practitioner in Glendale, California. Qualified in 2015, 11 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

519 E Broadway
Glendale, CA 91205-1110
Phone: (818) 409-3020
Fax: (818) 243-2713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95004259 (CA)

Record details

NPI number1558717314
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2016
Last updated in NPPESMay 11, 2016
Mailing address519 E Broadway, Glendale, CA 91205-1110

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Glendale