Individual provider Active NPI

Art Nazarian

  • Driver
  • Van Nuys, CA
National Provider Identifier
1174030480
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
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

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
823682229OtherCANON 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

LicenseStateTypeSpecialty
B5556393CAMDDriver

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.