Individual provider Active NPI

Vahig Sevag Manugian

  • Psychiatry Physician
  • Visalia, CA
National Provider Identifier
1194257725
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A17271 Issued in CA
Practice address
1100 S Akers St
Visalia, CA 93277-8311
Phone
(559) 624-3300
NPI assigned
Apr 2, 2017
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A17271 CA Primary

Addresses

Primary practice location

1100 S Akers St
Visalia, CA 93277-8311

Mailing address

1100 S Akers St
Visalia, CA 93277-8311
Phone (559) 624-3300

Other practice location 1

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000

Other practice location 2

455 Silicon Valley Blvd
San Jose, CA 95138-1858
Phone (669) 900-1731

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
I20210901002190 CA Practitioner - Psychiatry 5294131140 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Psychiatric Services IncGroup PAC ID 9436491420, 19 clinicians

Practice addresses (Care Compare)

455 Silicon Valley Blvd
San Jose, CA 95138-1858
Phone (408) 819-7310

901 Olive Dr
Bakersfield, CA 93308-4137
Phone (661) 215-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
A17271CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Psychiatric Services Inc CurrentSince Jun 23, 2021 Accepting new patients
SJBH, LLC Psychiatric Hospital Past Accepting new patients

Locations

7850 White Ln
#E301
Bakersfield, CA 93309

901 Olive Dr
Bakersfield, CA 93308
Phone (661) 215-7500

455 Silicon Valley Blvd
San Jose, CA 95138
Phone (408) 819-7310

1100 S Akers St
Visalia, CA 93277
Phone (559) 509-0846

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Organizations & group practices 4

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": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1194257725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778311",
            "telephone_number": "559-624-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778311",
            "telephone_number": "559-624-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Mineral King Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932916237",
            "country_code": "US",
            "telephone_number": "559-624-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Silicon Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951381858",
            "country_code": "US",
            "telephone_number": "669-900-1731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUGIAN",
        "first_name": "VAHIG",
        "middle_name": "SEVAG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-02",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A17271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.