Organization Active NPI

Avia Dialysis Center, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1407160526
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
PENDING Issued in CA
Legal business name
AVIA DIALYSIS CENTER, INC
Practice address
15211 Vanowen St Ste 204
Van Nuys, CA 91405-3666
Phone
(513) 673-5245
Fax
(866) 352-4339
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Seda Michelle Oganesyan
Title
Ceo
Phone
(513) 673-5245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X PENDING CA Primary

Addresses

Primary practice location

15211 Vanowen St Ste 204
Van Nuys, CA 91405-3666

Mailing address

15211 Vanowen St Ste 204
Van Nuys, CA 91405-3666
Phone (513) 673-5245

National Provider Directory

National Provider Directory

Locations

15211 Vanowen St
Ste 204
Van Nuys, CA 91405
Phone (818) 374-1000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1407160526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053666",
            "telephone_number": "513-673-5245",
            "fax_number": "866-352-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053666",
            "telephone_number": "513-673-5245",
            "fax_number": "866-352-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIA DIALYSIS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "OGANESYAN",
        "authorized_official_first_name": "SEDA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-673-5245"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.