Individual provider Active NPI

Artur Vardanyan, ATC

  • Athletic Trainer
  • Chatsworth, CA
National Provider Identifier
1134638539
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2000037984 Issued in CA
Practice address
20644 San Jose St
Chatsworth, CA 91311-2458
Phone
(818) 653-0782
NPI assigned
Sep 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X 2000037984 CA Primary

Addresses

Primary practice location

20644 San Jose St
Chatsworth, CA 91311-2458

Mailing address

20644 San Jose St
Chatsworth, CA 91311-2458
Phone (818) 653-0782

Other practice location 1

2560 Colorado Blvd
Eagle Rock, CA 90041-1005
Phone (323) 255-5409

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

LicenseStateTypeSpecialty
2000037984CAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1134638539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20644 SAN JOSE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112458",
            "telephone_number": "818-653-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20644 SAN JOSE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112458",
            "telephone_number": "818-653-0782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Eagle Rock",
            "state": "CA",
            "postal_code": "900411005",
            "country_code": "US",
            "telephone_number": "323-255-5409",
            "fax_number": "323-255-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARDANYAN",
        "first_name": "ARTUR",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-28",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000037984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; 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.