Active NPI
Alicia Vanee Kazarians, NP
- Nurse Practitioner
- Pasadena, CA
National Provider Identifier
1154518041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 601856
- Practice address
- 3160 E del Mar Blvd
Pasadena, CA 91107-4649 - Phone
- (626) 270-2400
- Fax
- (626) 270-2496
- NPI assigned
- Sep 25, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 601856 | CA | Primary |
Addresses
Primary practice location
3160 E del Mar Blvd
Pasadena, CA 91107-4649
Mailing address
3160 E del Mar Blvd
Pasadena, CA 91107-4649
Phone (626) 270-2400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154518041 | Medicaid | CA | |
| 13161113145 | Medicaid | CA | |
| NP17521 | Other | CA | NP LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1154518041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 E DEL MAR BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074649",
"telephone_number": "626-270-2400",
"fax_number": "626-270-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 E DEL MAR BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074649",
"telephone_number": "626-270-2400",
"fax_number": "626-270-2496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZARIANS",
"first_name": "ALICIA",
"middle_name": "VANEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "601856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154518041",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13161113145",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LIC",
"identifier": "NP17521",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.