Avanguard Medical Group Inc

Primary specialty

Vascular-Interventional Technology Radiologic TechnologistTaxonomy code 2471V0106X

Legal business name

AVANGUARD MEDICAL GROUP INC

Practice address

5620 Wilbur Ave Ste 207
Tarzana, CA 91356-1309

Phone

(818) 344-0070

NPI assigned

Oct 5, 2020

Last updated

Oct 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoriya Tepman

Title

Administrator

Phone

(818) 344-0070

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary C. Bellman, MD

  • Urology Physician
  • Woodland Hills, CA
  • NPI 1588735468
  NPD

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1336746221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE STE 207",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561309",
            "telephone_number": "818-344-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE STE 207",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561309",
            "telephone_number": "818-344-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANGUARD MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "TEPMAN",
        "authorized_official_first_name": "VICTORIYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-344-0070"
    },
    "taxonomies": [
        {
            "code": "2471V0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Auralcare Hearing Centers of America, LLC (My Hearing Centers)
• Autumn Hills Behavioral Health II, LLC
• Autumn Hills Behavioral Health, LLC
• Anthony Avalos, LVN
• Michelle Lynn Avalos
• Avanguard Surgery Center, LLC
• Avantgarde Senior Living
• Avb & LV Corporation (Temple of Life Home Care)
• Gloria Avendano
• Mariam Avetisyan

• Radiologic Technologist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.