Universal Mobile Doctors Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

UNIVERSAL MOBILE DOCTORS INC

Practice address

15333 Sherman Way Ste P
Van Nuys, CA 91406-4204

Phone

(323) 821-7772

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Vadim Danielian, FNP, MSNNPI 1689141483

Title

Ceo

Phone

(323) 821-7772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vadim Danielian

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1689141483
  Medicare reassignment NPD Authorized official
• Luis A Artavia, M.D.

  • Family Medicine Physician
  • Sylmar, CA
  • NPI 1407885577
  Medicare reassignment NPD
• Khalid Nur, M.D.

  • Internal Medicine Physician
  • Pico Rivera, CA
  • NPI 1235147521
  Medicare reassignment NPD

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1386269306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 SHERMAN WAY STE P",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064204",
            "telephone_number": "323-821-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15333 SHERMAN WAY STE P",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064204",
            "telephone_number": "323-821-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MOBILE DOCTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "DANIELIAN",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-821-7772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP, MSN"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Unsurpassed Care Inc
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• Upick Laboratory Inc
• Uplift Sobriety Center LLC

• Adult Medicine Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.