Active NPI
Vardui Arutyunyan-MD Inc
- Primary Care Clinic/Center
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A70072
- Legal business name
- VARDUI ARUTYUNYAN-MD INC
- Practice address
- 1030 S Glendale Ave
309
Glendale, CA 91205-5612 - Phone
- (818) 553-1020
- Fax
- (818) 553-6651
- NPI assigned
- Jun 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vardui Arutyunyan, M.D.
- Title
- Owner
- Phone
- (818) 553-1020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A70072 | CA | Primary |
Addresses
Primary practice location
1030 S Glendale Ave
309
Glendale, CA 91205-5612
Mailing address
1030 S Glendale Ave
309
Glendale, CA 91205-5612
Phone (818) 553-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1007639 | Vardui Arutyunyan, MD Inc | Certificate of waiver | Dec 23, 2026 |
National Provider Directory
National Provider DirectoryLocations
1030 S Glendale Ave
Ste 309
Glendale, CA 91205
Phone (818) 553-1020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1841235223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694044800000",
"number": "1235577982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 S GLENDALE AVE",
"address_2": "309",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912055612",
"telephone_number": "818-553-1020",
"fax_number": "818-553-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 S GLENDALE AVE",
"address_2": "309",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912055612",
"telephone_number": "818-553-1020",
"fax_number": "818-553-6651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VARDUI ARUTYUNYAN-MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-04",
"last_updated": "2023-09-07",
"certification_date": "2023-09-01",
"status": "A",
"authorized_official_last_name": "ARUTYUNYAN",
"authorized_official_first_name": "VARDUI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-553-1020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A70072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.