Active NPI
Vadim Galperin
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1003052721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16500
- Practice address
- 5059 York Blvd
Los Angeles, CA 90042-1713 - Phone
- (323) 344-4144
- Fax
- (323) 344-4146
- NPI assigned
- Dec 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16500 | CA | Primary |
Addresses
Primary practice location
5059 York Blvd
Los Angeles, CA 90042-1713
Mailing address
801 S Chevy Chase Dr
#20
Glendale, CA 91205-4431
Phone (818) 265-2237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017795 | NY | MD | Psychologist |
Interoperability endpoints
- vadim.galperin.p1@direct.lakeside.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1003052721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S CHEVY CHASE DR",
"address_2": "#20",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912054431",
"telephone_number": "818-265-2237",
"fax_number": "818-265-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5059 YORK BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900421713",
"telephone_number": "323-344-4144",
"fax_number": "323-344-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALPERIN",
"first_name": "VADIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-30",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA16500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.