Individual provider Active NPI

Araksya Vardanyan, NP

  • Family Nurse Practitioner
  • Sylmar, CA
National Provider Identifier
1376013839
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009757 Issued in CA
Practice address
14445 Olive View Dr
Sylmar, CA 91342-1437
Phone
(747) 210-3000
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009757 CA Primary

Addresses

Primary practice location

14445 Olive View Dr
Sylmar, CA 91342-1437

Mailing address

14117 Gault St
Van Nuys, CA 91405-3213
Phone (818) 325-9609

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190116000906 CA Practitioner - Nurse Practitioner 8123348240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family First Nurse Practitioner Nursing CorpGroup PAC ID 2163861527, 2 clinicians

Practice addresses (Care Compare)

3808 W Riverside Dr
Suite 406
Burbank, CA 91505-5301
Phone (310) 765-9019

Hospital & facility affiliations

  • House of Health Home Care Agency, Inc. Home health agency, Burbank, CA, CCN 757306
  • Gentle Loving Care Home health agency, Glendale, CA, CCN 757400
  • Firstmed Home Health Home health agency, Van Nuys, CA, CCN 757232
  • Salus Home Health Care, Inc. Home health agency, Los Angeles, CA, CCN 758069
  • A & V Home Health Care Services Home health agency, Los Angeles, CA, CCN 757559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009757CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Dec 1, 2018 Accepting new patients
Family First Nurse Practitioner, Nursing Corp. Family CurrentSince Jan 15, 2026 Accepting new patients
County of Los Angeles CurrentSince Dec 1, 2018 Accepting new patients

Locations

3808 W Riverside Dr
Ste 406
Burbank, CA 91505
Phone (310) 765-9019

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Care.Am LLCGlendale, CA, CCN 559542 Home health agency Operational/Managerial Control Nov 4, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1376013839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14117 GAULT ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053213",
            "telephone_number": "818-325-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DR",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421437",
            "telephone_number": "747-210-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDANYAN",
        "first_name": "ARAKSYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.