Pandian Paul Vibooshanan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C147787 Issued in CA

Practice address

8316 Food Hills Blvd
Sunland, CA 91040

Phone

(818) 273-8925

Fax

(818) 844-5090

NPI assigned

Apr 19, 2006

Last updated

May 15, 2019By 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 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pvibooshanan651558@direct.ochin.org

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.

• Syracuse Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Syracuse, NY
  • NPI 1497796353
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1215992615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 SOUTH CATALINA AVE, APT 1125",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91106",
            "telephone_number": "315-378-9578",
            "fax_number": "315-464-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 FOOD HILLS BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "91040",
            "telephone_number": "818-273-8925",
            "fax_number": "818-844-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIBOOSHANAN",
        "first_name": "PANDIAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "186395",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C147787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arame Vartanian
• Syouneh Vartanian, OTR/L
• Stephanie Vega
• Veronica Velazquez, DMD
• Vermel Hospice, Inc
• Dovyn Nicole Filart Villena, OTR/L
• Aino Vimb, M.S
• Nicoletta Erin Paulina Von Heidegger, MA, MED,LMFT #110256
• Kevork Artin Vorperian, M.D.
• Wheatland Home Health Care Inc

• Pediatrics Physician in Sunland, CA
• Providers in Sunland, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.