Active NPI
Vadim Sarkisyan
- Psychiatric/Mental Health Nurse Practitioner
- Sun Valley, CA
National Provider Identifier
1063286714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95025977
- Practice address
- 7262 Satsuma Ave
Sun Valley, CA 91352-4819 - Phone
- (323) 327-3465
- NPI assigned
- Nov 13, 2023
- Last updated
- Nov 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95025977 | CA | Primary |
Addresses
Primary practice location
7262 Satsuma Ave
Sun Valley, CA 91352-4819
Mailing address
7262 Satsuma Ave
Sun Valley, CA 91352-4819
Phone (323) 327-3465
Other names 1
- Vadim Guslistyy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025977 | CA | MD | Registered Nurse |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1063286714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7262 SATSUMA AVE",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524819",
"telephone_number": "323-327-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7262 SATSUMA AVE",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524819",
"telephone_number": "323-327-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARKISYAN",
"first_name": "VADIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95025977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VADIM",
"last_name": "GUSLISTYY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sun Valley, CA
- San Fernando Valley Community Mental Health Center, Inc. (Youth Contact Polytechnic HS)
- Kimberly Sanchez
- Ruby Sanchez
- Afra Denise Sandoval, RADT
- Gayane Vera Sargsyan, FNP
- Elizabeth Schmidt
- Lesley Lizeth Segura, RADT
- Senior Care Pharmacy SFV Inc (Senior Care Pharmacy SVCS)
- Serene Life Senior Care
- Serene Nature Assisted Living LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.