Active NPI
Flora Abrahamian Vardanian, MD
- Allergy & Immunology Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A85631
- Practice address
- 94 N Madison Ave
Pasadena, CA 91101-1740 - Phone
- (626) 792-4171
- Fax
- (626) 792-2328
- NPI assigned
- Jan 8, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 261242 | MA | |
| Internal Medicine Physician | 207R00000X | A85631 | CA | |
| Allergy & Immunology Physician | 207K00000X | A85631 | CA | Primary |
Addresses
Primary practice location
94 N Madison Ave
Pasadena, CA 91101-1740
Mailing address
94 N Madison Ave
Pasadena, CA 91101-1740
Phone (626) 792-4171
Other practice location 1
725 Albany St
Shapiro 8
Boston, MA 02118-2526
Phone (617) 414-4841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A856310 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120103000588 | CA | Practitioner - Allergy/Immunology | 6002821659 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of California, Geffen School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Los Angeles Food Allergy Institute, Inc.
Practice addresses (Care Compare)
201 S Buena Vista St
Suite 310
Burbank, CA 91505-4569
Phone (818) 561-4533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A85631 | CA | MD | Allergy & Immunology Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Ho, M.D. a Prof. Corporation | Current | Accepting new patients | |
| Allergy and Asthma Specialist Doctors, Inc. | Allergy & Immunology | Current | Accepting new patients |
| Los Angeles Food Allergy Institute, Inc. | Allergy & Immunology | Current | Accepting new patients |
| Aire Medical Group, Inc. | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
Locations
191 S Buena Vista St
Ste 330
Burbank, CA 91505
Phone (818) 561-4533
201 S Buena Vista St
Ste 310
Burbank, CA 91505
Phone (818) 561-4533
201 S Buena Vista St
#310
Burbank, CA 91505
Phone (818) 435-2257
1131 N Pacific Ave
Glendale, CA 91202
Phone (818) 558-5828
94 N Madison Ave
Pasadena, CA 91101
Phone (626) 792-4171
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Allergy Physician
- Burbank, CA
- NPI 1215558341
Allergy & Immunology, CA
-
- Allergy & Immunology Physician
- Pasadena, CA
- NPI 1245794866
Allergy & Immunology, CA
-
- Specialist
- Pasadena, CA
- NPI 1831364462
-
- Allergy Physician
- Burbank, CA
- NPI 1104248871
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1184772048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 N MADISON AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011740",
"telephone_number": "626-792-4171",
"fax_number": "626-792-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 N MADISON AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011740",
"telephone_number": "626-792-4171",
"fax_number": "626-792-2328"
}
],
"practiceLocations": [
{
"address_1": "725 Albany St",
"address_2": "Shapiro 8",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182526",
"country_code": "US",
"telephone_number": "617-414-4841",
"fax_number": "617-414-5741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARDANIAN",
"first_name": "FLORA",
"middle_name": "ABRAHAMIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MA",
"license": "261242",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A85631",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "A85631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A856310",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.