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

Samira Amirova

Individual provider Gerontology Nurse Practitioner · NPI 1497127070

Samira Amirova is a Nurse Practitioner in Van Nuys, California. Qualified in 2013, 13 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2015

Practice location Address checks out

6511 Van Nuys Blvd
Van Nuys, CA 91401-1425
Phone: (818) 901-9090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 95002261 (CA)

Record details

NPI number1497127070
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 22, 2015
Last updated in NPPESDecember 6, 2021
Mailing address6511 Van Nuys Blvd, Van Nuys, CA 91401-1425

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Van Nuys