Organization Active NPI

Viva Med Center PC

  • Internal Medicine Physician
  • Encino, CA
National Provider Identifier
1295598571
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VIVA MED CENTER PC
Practice address
17609 Ventura Blvd Ste 203
Encino, CA 91316-5121
Phone
(844) 673-2600
Fax
(844) 673-2601
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Babak Shabatian, MDNPI 1285675629
Title
Medical Director, Owner
Phone
(844) 673-2600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

17609 Ventura Blvd Ste 203
Encino, CA 91316-5121

Mailing address

17609 Ventura Blvd Ste 203
Encino, CA 91316-5121
Phone (844) 673-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240621002384 CA Part B Supplier - Clinic/Group Practice 4486197118 Receives reassigned benefits from 2 practitioners
Practice locations: Irvine, CA; Encino, CA; Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

17609 Ventura Blvd
Ste 203
Encino, CA 91316
Phone (844) 673-2600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1295598571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165121",
            "telephone_number": "844-673-2600",
            "fax_number": "844-673-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165121",
            "telephone_number": "844-673-2600",
            "fax_number": "844-673-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA MED CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "SHABATIAN",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, OWNER",
        "authorized_official_telephone_number": "844-673-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.