Individual provider Active NPI

Flora Abrahamian Vardanian, MD

  • Allergy & Immunology Physician
  • Pasadena, CA
National Provider Identifier
1184772048
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A85631 Issued in CA
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

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A856310MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 2 clinicians

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

LicenseStateTypeSpecialty
A85631CAMDAllergy & Immunology Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Frederick Ho, M.D. a Prof. Corporation CurrentSince Mar 22, 2019 Accepting new patients
Allergy and Asthma Specialist Doctors, Inc. Allergy & Immunology CurrentSince Mar 22, 2019 Accepting new patients
Los Angeles Food Allergy Institute, Inc. Allergy & Immunology CurrentSince Oct 1, 2021 Accepting new patients
Aire Medical Group, Inc. PastSince Jun 3, 2014 Accepting new patients
Pasadena Hospital Association, LTD. PastSince Oct 1, 2021 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.

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

Verify at the official NPI Registry.