Individual provider Active NPI

Petros Pogosyan

  • Non-emergency Medical Transport (VAN)
  • Valley Village, CA
National Provider Identifier
1164021218
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
12500 Riverside Dr Ste 212
Valley Village, CA 91607-3480
Phone
(818) 858-2828
NPI assigned
Oct 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

12500 Riverside Dr Ste 212
Valley Village, CA 91607-3480

Mailing address

12500 Riverside Dr Ste 212
Valley Village, CA 91607-3480
Phone (818) 858-2828

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mega Medical Transportation Inc Non-Emergency Medical Transport (Van) CurrentSince Dec 13, 2020 Accepting new patients

Locations

12500 Riverside Dr
Ste 212
Valley Village, CA 91607
Phone (818) 858-2828

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1164021218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 RIVERSIDE DR STE 212",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073480",
            "telephone_number": "818-858-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 RIVERSIDE DR STE 212",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073480",
            "telephone_number": "818-858-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGOSYAN",
        "first_name": "PETROS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.