Individual provider Active NPI

Vigen Tsaturyan

  • Durable Medical Equipment & Medical Supplies
  • Sun Valley, CA
National Provider Identifier
1376558718
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
128413 Issued in CA
Practice address
10804 Vinedale St
10804 Vindale St
Sun Valley, CA 91352-2845
Phone
(818) 771-9050
Fax
(818) 771-9212
NPI assigned
Jul 31, 2006
Last updated
Jan 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 128413 CA Primary

Addresses

Primary practice location

10804 Vinedale St
10804 Vindale St
Sun Valley, CA 91352-2845

Mailing address

10804 Vinedale St
Sun Valley, CA 91352-2845
Phone (818) 771-9050

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

State licenses

LicenseStateTypeSpecialty
128413CAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Vinedale Health Care, Inc. Durable Medical Equipment & Medical Supplies Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1376558718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10804 VINEDALE ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522845",
            "telephone_number": "818-771-9050",
            "fax_number": "818-771-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10804 VINEDALE ST",
            "address_2": "10804 VINDALE ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522845",
            "telephone_number": "818-771-9050",
            "fax_number": "818-771-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSATURYAN",
        "first_name": "VIGEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "128413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.