Active NPI
Art Nazarian
- Driver
- Van Nuys, CA
National Provider Identifier
1174030480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 6412 Matilija Ave Ste 203
Van Nuys, CA 91401-1576 - Phone
- (747) 777-3838
- NPI assigned
- Jan 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | B5556393 | CA | |
| Driver | 172A00000X | 823682229 | CA | |
| Homemaker | 376J00000X | |||
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
6412 Matilija Ave Ste 203
Van Nuys, CA 91401-1576
Mailing address
6412 Matilija Ave Ste 203
Van Nuys, CA 91401-1576
Phone (747) 777-3838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 823682229 | Other | CA | NON MEDICAL TRANSPORTATION |
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 |
|---|---|---|---|
| B5556393 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medlife Home Care Inc | Current | Accepting new patients | |
| Dnpa Transportation Inc | Current | Accepting new patients |
Locations
6412 Matilija Ave
Ste 203
Van Nuys, CA 91401
Phone (747) 777-3838
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Caretech Transportation
- Non-emergency Medical Transport (VAN)
- North Hollywood, CA
- NPI 1063919462
-
- Home Health Agency
- Van Nuys, CA
- NPI 1679038392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1174030480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6412 MATILIJA AVE STE 203",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011576",
"telephone_number": "747-777-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6412 MATILIJA AVE STE 203",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011576",
"telephone_number": "747-777-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIAN",
"first_name": "ART",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "B5556393",
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "823682229",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON MEDICAL TRANSPORTATION",
"identifier": "823682229",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.