Organization Active NPI

Valley Oaks Orthopedics, Inc.

  • Customized Equipment (DME)
  • Van Nuys, CA
National Provider Identifier
1295763944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
97-597753 Issued in CA
Legal business name
VALLEY OAKS ORTHOPEDICS, INC.
Practice address
16122 Covello St
Van Nuys, CA 91406-2910
Phone
(818) 789-8593
Fax
(818) 789-5863
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dimitri Peter Yagdjis, CPO02371
Title
Chief Executive Officer
Phone
(818) 789-8583

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Customized Equipment (DME) 332BC3200X 97-597753 CA Primary

Addresses

Primary practice location

16122 Covello St
Van Nuys, CA 91406-2910

Mailing address

16122 Covello St
Van Nuys, CA 91406-2910
Phone (818) 789-8593

National Provider Directory

National Provider Directory
Tax ID family
Valley Oaks Orthopedic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295763944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16122 COVELLO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062910",
            "telephone_number": "818-789-8593",
            "fax_number": "818-789-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16122 COVELLO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062910",
            "telephone_number": "818-789-8593",
            "fax_number": "818-789-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OAKS ORTHOPEDICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAGDJIS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-789-8583",
        "authorized_official_credential": "CPO02371"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "97-597753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.