Ani Vardapetian, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA19886 Issued in CA

Practice address

7128 Pacific Blvd
Suite a
Huntington Park, CA 90255-4776

Phone

(323) 586-0144

Fax

(323) 586-0629

NPI assigned

Aug 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All-Inclusive Community Health CenterGroup PAC ID 5294905006, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All-Inclusive Community Health Center

  • Primary Care Clinic/Center
  • Burbank, CA
  • NPI 1093019051
  Medicare reassignment Care Compare group
• All-Inclusive Community Health Center

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1174996177
  NPD
• Mahfouz M. Michael,M.D.,Inc.

  • Obstetrics & Gynecology Physician
  • Huntington Park, CA
  • NPI 1134348261
  NPD (past)

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1316178312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7128 PACIFIC BLVD",
            "address_2": "SUITE A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554776",
            "telephone_number": "323-586-0144",
            "fax_number": "323-586-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7128 PACIFIC BLVD",
            "address_2": "SUITE A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554776",
            "telephone_number": "323-586-0144",
            "fax_number": "323-586-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDAPETIAN",
        "first_name": "ANI",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Sonia Valencia
• Nathalie Valentin
• Steven Enrique Valle
• Valley Clinica Medica General Medical Center Inc
• Van Dinh Nguyen Medical Corp.
• Jessica Vargas Zepeda
• Luis J Vargas
• Vartan L. Thomas DDS Inc
• Vascular Interventional Group, Inc.
• Dolores Vasquez

• Physician Assistant in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.