Individual provider Active NPI

Hermine Dolarian, PT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1366514713
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT02081 Issued in RI
Practice address
1480 Colorado Blvd Ste 130
Los Angeles, CA 90041-2373
Phone
(401) 447-3151
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT02081 RI Primary

Addresses

Primary practice location

1480 Colorado Blvd Ste 130
Los Angeles, CA 90041-2373

Mailing address

1480 Colorado Blvd Ste 130
Los Angeles, CA 90041-2373
Phone (401) 447-3151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427001809 CA Practitioner - Physical Therapist in Private Practice 9032119128 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT02081RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vmax Physical Therapy Inc CurrentSince Mar 1, 2022 Accepting new patients
Whole Health Physical Therapy Physical Therapist Past Accepting new patients

Locations

1480 Colorado Blvd
Ste 130
Los Angeles, CA 90041
Phone (323) 739-6101

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1366514713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD STE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412373",
            "telephone_number": "401-447-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD STE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412373",
            "telephone_number": "401-447-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLARIAN",
        "first_name": "HERMINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.