Organization Active NPI

Vahe Badalian MD Inc

  • Cardiovascular Disease Physician
  • Glendale, CA
National Provider Identifier
1174823363
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
VAHE BADALIAN MD INC
Practice address
1530 E Chevy Chase Dr Ste 201
Glendale, CA 91206-4139
Phone
(818) 247-9200
Fax
(818) 484-8190
NPI assigned
Oct 22, 2010
Last updated
Jul 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Vahe Badalian, M.D.NPI 1477625945
Title
President
Phone
(818) 247-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1530 E Chevy Chase Dr Ste 201
Glendale, CA 91206-4139

Mailing address

1530 E Chevy Chase Dr Ste 201
Glendale, CA 91206-4139
Phone (818) 247-9200

Other practice location 1

1560 E Chevy Chase Dr Ste 240
Glendale, CA 91206-4140
Phone (818) 247-9200

Other practice location 2

1560 E Chevy Chase Dr Ste 240
Glendale, CA 91206-4140
Phone (818) 247-9200

Other identifiers 1

IdentifierTypeStateIssuer
00A452220MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101025000122 CA Part B Supplier - Clinic/Group Practice 9133312036 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1174823363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E CHEVY CHASE DR STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064139",
            "telephone_number": "818-247-9200",
            "fax_number": "818-484-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E CHEVY CHASE DR STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064139",
            "telephone_number": "818-247-9200",
            "fax_number": "818-484-8190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 E Chevy Chase Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064140",
            "country_code": "US",
            "telephone_number": "818-247-9200",
            "fax_number": "818-247-9382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 E Chevy Chase Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064140",
            "country_code": "US",
            "telephone_number": "818-247-9200",
            "fax_number": "818-247-9382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VAHE BADALIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "BADALIAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-247-9200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A452220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.