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

Siranush Grigoryan

Individual provider Family Nurse Practitioner · NPI 1093582546

Siranush Grigoryan is a Nurse Practitioner in Pacoima, California. Qualified in 2024, 2 years ago. Practices with Clinica Medica Pacoima, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2023

Practice location Address checks out

13630 Van Nuys Blvd
Pacoima, CA 91331-3600
Phone: (747) 888-2584
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95034155 (CA)

Record details

NPI number1093582546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 5, 2023
Last updated in NPPESMarch 16, 2025
Certification dateMarch 14, 2025
Mailing address12812 Oxnard St, N Hollywood, CA 91606-4315

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Clinica Medica Pacoima — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pacoima