Active NPI
Mirian Vargas
- Case Manager/Care Coordinator
- Northridge, CA
National Provider Identifier
1174047567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 8330 Reseda Blvd
Northridge, CA 91324-4619 - Phone
- (818) 996-1051
- NPI assigned
- Jul 27, 2017
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | Primary |
Addresses
Primary practice location
8330 Reseda Blvd
Northridge, CA 91324-4619
Mailing address
11320 Kittridge St
North Hollywood, CA 91606-2607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98510339C66324 | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1174047567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11320 KITTRIDGE ST",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916062607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8330 RESEDA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244619",
"telephone_number": "818-996-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "MIRIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-27",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98510339C66324",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.