Individual provider Active NPI

Vahag Mehrabian, D.D.S.

  • General Practice Dentistry
  • La Crescenta, CA
National Provider Identifier
1255487617
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51108 Issued in CA
Practice address
3157 Foothill Blvd
Suite a
La Crescenta, CA 91214-4251
Phone
(818) 541-9724
Fax
(818) 541-0257
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51108 CA Primary

Addresses

Primary practice location

3157 Foothill Blvd
Suite a
La Crescenta, CA 91214-4251

Mailing address

3157 Foothill Blvd
Suite a
La Crescenta, CA 91214-4251
Phone (818) 541-9724

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803002859 CA Practitioner - DentistPractitioner - Oral Surgery 0547524795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vahag Mehrabian Dental Corporation CurrentSince Aug 1, 2020 Accepting new patients
Ambarachyan Dental Corporation General Practice Past Accepting new patients
Armen Ambarachyan Dental Corporation General Practice Past Accepting new patients

Locations

5815 Whittier Blvd
Los Angeles, CA 90022
Phone (323) 721-1212

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255487617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144251",
            "telephone_number": "818-541-9724",
            "fax_number": "818-541-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144251",
            "telephone_number": "818-541-9724",
            "fax_number": "818-541-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRABIAN",
        "first_name": "VAHAG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

Verify at the official NPI Registry.