Active NPI
Nu Vela Esthetica, Inc.
- Plastic Surgery Physician
- Porter Ranch, CA
National Provider Identifier
1013931591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A47717
- Legal business name
- NU VELA ESTHETICA, INC.
- Practice address
- 11200 Corbin Ave
Ste.# 104
Porter Ranch, CA 91326-4120 - Phone
- (818) 832-4500
- Fax
- (818) 832-4522
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raffi Dishakjian, M.D.
- Title
- President/Owner
- Phone
- (818) 888-7815
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A47717 | CA | |
| Plastic Surgery Physician | 208200000X | A47717 | CA | Primary |
Addresses
Primary practice location
11200 Corbin Ave
Ste.# 104
Porter Ranch, CA 91326-4120
Mailing address
PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11200 Corbin Ave
Ste 104
Porter Ranch, CA 91326
Phone (818) 832-4500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- West Hills, CA
- NPI 1073538708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433116800000",
"number": "1013931591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7001",
"city": "TARZANA",
"state": "CA",
"postal_code": "913577001",
"telephone_number": "818-888-7815",
"fax_number": "818-715-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 CORBIN AVE",
"address_2": "STE.# 104",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264120",
"telephone_number": "818-832-4500",
"fax_number": "818-832-4522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NU VELA ESTHETICA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2015-06-01",
"status": "A",
"authorized_official_last_name": "DISHAKJIAN",
"authorized_official_first_name": "RAFFI",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "818-888-7815",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A47717",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A47717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Porter Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.