Individual provider Active NPI

Vazken Henry Bilemjian, DMD

  • Dentist
  • Pasadena, CA
National Provider Identifier
1083836373
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36134 Issued in CA
Practice address
212 S El Molino Ave
Pasadena, CA 91101-2906
Phone
(626) 792-6131
Fax
(626) 792-4831
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36134 CA Primary

Addresses

Primary practice location

212 S El Molino Ave
Pasadena, CA 91101-2906

Mailing address

212 S El Molino Ave
Pasadena, CA 91101-2906
Phone (626) 792-6131

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504001804 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7315246865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1083836373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012906",
            "telephone_number": "626-792-6131",
            "fax_number": "626-792-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012906",
            "telephone_number": "626-792-6131",
            "fax_number": "626-792-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILEMJIAN",
        "first_name": "VAZKEN",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.