Active NPI
Vazrick Navasartian, DDS
- Dentist
- Coaling, CA
National Provider Identifier
1114101326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50330
- Practice address
- 24863 W. Hayne Ave
Coaling, CA 93210 - Phone
- (559) 935-4900
- Fax
- (559) 935-7021
- NPI assigned
- Dec 24, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 50330 | CA | Primary |
Addresses
Primary practice location
24863 W. Hayne Ave
Coaling, CA 93210
Mailing address
1756 E Quincy Ave
Fresno, CA 93720-2352
Phone (559) 696-0595
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50330 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198454400000",
"number": "1114101326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1756 E QUINCY AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202352",
"telephone_number": "559-696-0595",
"fax_number": "559-323-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24863 W. HAYNE AVE",
"city": "COALING",
"state": "CA",
"postal_code": "93210",
"telephone_number": "559-935-4900",
"fax_number": "559-935-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVASARTIAN",
"first_name": "VAZRICK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.