Active NPI
Billet by Ulu LLC
- Integrative Medicine Physician
- Glendale, AZ
National Provider Identifier
1376239277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- BILLET BY ULU LLC
- Practice address
- 5540 W Glendale Ave Ste C102
Glendale, AZ 85301-2581 - Phone
- (833) 224-5538
- NPI assigned
- Apr 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vahan Oganesyan
- Title
- Coo
- Phone
- (833) 224-5538
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | Primary | ||
| Family Medicine Physician | 207Q00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Dental Clinic/Center | 261QD0000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
5540 W Glendale Ave Ste C102
Glendale, AZ 85301-2581
Mailing address
6710 N 47TH Ave
Glendale, AZ 85301-4121
Phone (833) 224-5538
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682035200000",
"number": "1376239277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6710 N 47TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853014121",
"telephone_number": "833-224-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5540 W GLENDALE AVE STE C102",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853012581",
"telephone_number": "833-224-5538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BILLET BY ULU LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A",
"authorized_official_last_name": "OGANESYAN",
"authorized_official_first_name": "VAHAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "833-224-5538"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.