Organization Active NPI

Akopyan & Vasilyan Medical Corp.

Doing business as Hydra IV & Aesthetics

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1154134344
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AKOPYAN & VASILYAN MEDICAL CORP.
Doing business as
Hydra IV & Aesthetics
Practice address
207 N Victory Blvd Ste J
Burbank, CA 91502-1839
Phone
(818) 669-8271
NPI assigned
Jan 30, 2025
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Artashes Vasilyan, 103NP
Title
Owner
Phone
(818) 669-8271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X

Addresses

Primary practice location

207 N Victory Blvd Ste J
Burbank, CA 91502-1839

Mailing address

207 N Victory Blvd Ste J
Burbank, CA 91502-1839

Other names 1

  • Hydra IV & Aesthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250401002854 CA Part B Supplier - Clinic/Group Practice 8022531920 Practice locations: Burbank, CA; Glendale, CA

National Provider Directory

National Provider Directory

Locations

207 N Victory Blvd
Ste J
Burbank, CA 91502
Phone (818) 669-8271

207 N Victory Blvd
Burbank, CA 91502
Phone (818) 669-8271

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1154134344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N VICTORY BLVD STE J",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N VICTORY BLVD STE J",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021839",
            "telephone_number": "818-669-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKOPYAN & VASILYAN MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "VASILYAN",
        "authorized_official_first_name": "ARTASHES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-669-8271",
        "authorized_official_credential": "103NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hydra IV & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hydra IV & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.