Eva Medical Clinic

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EVA MEDICAL CLINIC

Practice address

16205 Devonshire St Ste B
Granada Hills, CA 91344-6949

Phone

(818) 472-9467

Fax

(818) 472-9467

NPI assigned

May 19, 2025

Last updated

Jun 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vardges Khachatryan

Title

Ceo

Phone

(818) 472-9467

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michio Abe, MD

  • Internal Medicine Physician
  • Victorville, CA
  • NPI 1285669671
  Medicare reassignment NPD

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1215729108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16205 DEVONSHIRE ST STE B",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446949",
            "telephone_number": "818-488-1442",
            "fax_number": "818-488-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16205 DEVONSHIRE ST STE B",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446949",
            "telephone_number": "818-472-9467",
            "fax_number": "818-472-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "VARDGES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-472-9467"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.