Individual provider Active NPI

Romik Zadorian, MD

  • Emergency Medicine Physician
  • Encino, CA
National Provider Identifier
1205970696
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A102111 Issued in CA
Practice address
16661 Ventura Blvd Ste 108
Encino, CA 91436-1902
Phone
(818) 600-4989
Fax
(818) 600-4840
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A102111 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 108
Encino, CA 91436-1902

Mailing address

16661 Ventura Blvd Ste 108
Encino, CA 91436-1902
Phone (818) 600-4989

Other identifiers 2

IdentifierTypeStateIssuer
413328500MedicaidMD
413046400MedicaidMD

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
I20120330000291 CA Practitioner - Emergency Medicine 0143317909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Urgent Care IncGroup PAC ID 7416495346, 4 clinicians
Ridgeline Emergency Physicians Medical Group, Inc.Group PAC ID 0345521613, 39 clinicians

Practice addresses (Care Compare)

16661 Ventura Blvd
Suite 108
Encino, CA 91436-1902
Phone (818) 823-3988

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 885-5396

Hospital & facility affiliations

  • Attentive Home Health Inc Home health agency, Tarzana, CA, CCN 559519
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102111CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeline Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Elite Urgent Care Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

16661 Ventura Blvd
Ste 108
Encino, CA 91436
Phone (818) 738-9111

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

Interoperability endpoints

  • Direct secure messaging: romik.zadorian.1@31212.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1205970696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 108",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361902",
            "telephone_number": "818-600-4989",
            "fax_number": "818-600-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 108",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361902",
            "telephone_number": "818-600-4989",
            "fax_number": "818-600-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADORIAN",
        "first_name": "ROMIK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A102111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413328500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413046400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.