Active NPI
Yagnesh Vadgama
- Behavior Analyst
- Encino, CA
National Provider Identifier
1326453424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-16792
- Practice address
- 17609 Ventura Blvd Ste 215
Encino, CA 91316-5126 - Phone
- (818) 501-8352
- NPI assigned
- Jun 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-16792 | CA | Primary |
Addresses
Primary practice location
17609 Ventura Blvd Ste 215
Encino, CA 91316-5126
Mailing address
17609 Ventura Blvd Ste 215
Encino, CA 91316-5126
Phone (818) 501-8352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272115023 | Other | CA | PRIVATE COMPANY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1326453424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17609 VENTURA BLVD STE 215",
"city": "ENCINO",
"state": "CA",
"postal_code": "913165126",
"telephone_number": "818-501-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17609 VENTURA BLVD STE 215",
"city": "ENCINO",
"state": "CA",
"postal_code": "913165126",
"telephone_number": "818-501-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADGAMA",
"first_name": "YAGNESH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-26",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-14-16792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE COMPANY",
"identifier": "272115023",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
- Urological Institute of Southern California LLC
- Natalia Usmanova
- Uttara RX Inc (valley drug and compounding)
- Joel Andarza Uy, FNP-BC
- V & G Healthcare Services Inc
- Vadim Lipel & Associates, a Professional Corporation
- Roxana Vahdat, LMFT
- Payam Vahedifar, M.D.
- Viktor Vakulenko, MD
- Elvia Yessenia Valdez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.