SAMUEL T GRIGORYAN NP NPI 1881189892

NPI Information

NPI: 1881189892
Provider Name: SAMUEL T GRIGORYAN, NP
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
29982 IVY GLENN DR STE 203
LAGUNA NIGUEL, CA
ZIP 92677
Phone: (949) 309-7903
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Samuel T Grigoryan, NP is a psychiatric/mental health registered nurse in Laguna Niguel, CA with 3 years of experience. Samuel T Grigoryan, NP NPI is 1881189892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

29982 IVY GLENN DR STE 203
LAGUNA NIGUEL, CA
ZIP 92677-097
Phone: (949) 309-7903
Fax: (949) 716-5243

The NPI 1881189892 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2018 and was last updated on 5/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	95165516	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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