Ben Djabourian

Primary specialty

PedorthistTaxonomy code 224L00000X

Practice address

143 E. Rowland St. Suite 2
Covina, CA 91723-3000

Phone

(626) 858-9460

Fax

(626) 858-9767

NPI assigned

Feb 14, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Vito'S Pedorthic Center Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vitos Pedorthic Center Inc

  • Prosthetic/Orthotic Supplier
  • Covina, CA
  • NPI 1205583606

  Pedorthist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1073781886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233049",
            "telephone_number": "626-858-9460",
            "fax_number": "626-858-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E. ROWLAND ST. SUITE 2",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233000",
            "telephone_number": "626-858-9460",
            "fax_number": "626-858-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJABOURIAN",
        "first_name": "BEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0306",
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PIN",
            "identifier": "4974734",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03036F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VITO'S",
            "last_name": "CENTER",
            "middle_name": "PEDORTHIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrea Dixon
• Latasha Dixon, LMFT
• Monique Cheree Dixon, LMFT 142173
• Kristine Grace Lee Dizon, FNP-C
• Anna Djabourian
• Victoria Djabourian
• DM Laser and Derma Center
• Anthony DO, DPT
• Benjamin DO, PHARM.D
• Trami Thi DO, MS

• Pedorthist in Covina, CA
• Providers in Covina, CA by specialty
• Pedorthist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.