Individual provider Active NPI

Karmen Vardanyan

  • Primary Care Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1265293831
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95025891 Issued in CA
Practice address
214 N Central Ave
Glendale, CA 91203-3556
Phone
(818) 246-8000
NPI assigned
Jan 19, 2024
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95025891 CA Primary

Addresses

Primary practice location

214 N Central Ave
Glendale, CA 91203-3556

Mailing address

13660 Dronfield Ave
Sylmar, CA 91342-1446
Phone (818) 437-4106

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031001380 CA Practitioner - Nurse Practitioner 7719410547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Health Group a Medical CorporationGroup PAC ID 1951603224, 17 clinicians

Practice addresses (Care Compare)

214 N Central Ave
Glendale, CA 91203-2577
Phone (818) 246-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Health Group a Medical Corporation CurrentSince Aug 12, 2024 Accepting new patients

Locations

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

214 N Central Ave
Glendale, CA 91203
Phone (818) 241-0970

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17568/brand/1/csg/1/fhir/r4
  • Direct secure messaging: karmen.vardanyan.1@17568.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1265293831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 DRONFIELD AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421446",
            "telephone_number": "818-437-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033556",
            "telephone_number": "818-246-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDANYAN",
        "first_name": "KARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95025891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.