Active NPI
Ani Manukyan Varbedian, LMFT
- Marriage & Family Therapist
- Porter Ranch, CA
National Provider Identifier
1407997612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC46592
- Practice address
- 11145 Tampa Ave
Suite 27a
Porter Ranch, CA 91326-2255 - Phone
- (818) 336-1603
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC46592 | CA | Primary |
Addresses
Primary practice location
11145 Tampa Ave
Suite 27a
Porter Ranch, CA 91326-2255
Mailing address
11145 Tampa Ave
Suite 27a
Porter Ranch, CA 91326-2255
Phone (818) 336-1603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC46592 | CA | MD | Marriage & Family Therapist |
| 46592 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1407997612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11145 TAMPA AVE",
"address_2": "SUITE 27A",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913262255",
"telephone_number": "818-336-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11145 TAMPA AVE",
"address_2": "SUITE 27A",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913262255",
"telephone_number": "818-336-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARBEDIAN",
"first_name": "ANI",
"middle_name": "MANUKYAN",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC46592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porter Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.