Active NPI
Olga Vardanyan, C.N.S., M.D., PH.D
- Nutritionist
- Burbank, CA
National Provider Identifier
1104228097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- CNS16161
- Practice address
- 333 E Magnolia Blvd
Suite 102
Burbank, CA 91502-1153 - Phone
- (818) 729-0300
- Fax
- (818) 729-0400
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | CNS16161 | CA | Primary |
Addresses
Primary practice location
333 E Magnolia Blvd
Suite 102
Burbank, CA 91502-1153
Mailing address
333 E Magnolia Blvd
Suite 102
Burbank, CA 91502-1153
Phone (818) 729-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNS16161 | CA | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glendale Foot & Ankle Podiatry Center, Inc. | Past | Accepting new patients | |
| Armen Haroutiounian DC a Professional Chiropractic Corporat | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Burbank, CA
- NPI 1730650367
-
- Foot & Ankle Surgery Podiatrist
- Glendale, CA
- NPI 1710173489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1104228097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E MAGNOLIA BLVD",
"address_2": "SUITE 102",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021153",
"telephone_number": "818-729-0300",
"fax_number": "818-729-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E MAGNOLIA BLVD",
"address_2": "SUITE 102",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021153",
"telephone_number": "818-729-0300",
"fax_number": "818-729-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARDANYAN",
"first_name": "OLGA",
"name_prefix": "Dr.",
"credential": "C.N.S., M.D., PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CA",
"license": "CNS16161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.