Behrang Vameghi Vessali, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

54074 Issued in CA

Practice address

12922 Victory Blvd
North Hollywood, CA 91606-2924

Phone

(818) 760-2800

Fax

(818) 760-9730

NPI assigned

Jan 16, 2017

Last updated

Jan 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Behrang V Vessali Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• New Century Institute for Urology & Andrology a.P.M.C.

  • Urology Physician
  • North Hollywood, CA
  • NPI 1639468093
  Medicare reassignment
• S. Adam Ramin MD Inc

  • Urology Physician
  • Los Angeles, CA
  • NPI 1215940796
  Medicare reassignment
• Urology Cancer Specialists a Professional Medical Corporation

  • Surgical Oncology Physician
  • North Hollywood, CA
  • NPI 1619084316
  NPD (past)

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1194261073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12922 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062924",
            "telephone_number": "818-760-2800",
            "fax_number": "818-760-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12922 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062924",
            "telephone_number": "818-760-2800",
            "fax_number": "818-760-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESSALI",
        "first_name": "BEHRANG",
        "middle_name": "VAMEGHI",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEHRANG",
            "last_name": "VESSALI",
            "middle_name": "V",
            "prefix": "MR.",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Velvet Skin and Wellness
• Leslie Yvette Venegas
• Monica Vera-Schubert
• Maleenah Itzel Vera
• Steven Verduzco
• Victory Care Medical Supply Inc. (Victory Care Medical Supply)
• Victory Counseling and Psychosocial Education Inc (Chester Litvin, PhD)
• Victory Diagnostics Inc.
• Victory Hospice Care, Inc.
• Victory Physical Rehabilitation, Inc

• Physician Assistant in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.