Victoria Djabourian

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

License

C36902 Issued in CA

Practice address

153 E Rowland St
Covina, CA 91723-3049

Phone

(626) 343-9261

NPI assigned

Feb 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Vito'S Pedorthic Center

  • Pedorthist
  • Covina, CA
  • NPI 1508397514

  Orthotist

  NPD
• Vitos Pedorthic Center Inc

  • Prosthetic/Orthotic Supplier
  • Covina, CA
  • NPI 1205583606

  Orthotist

  NPD

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1417603028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233049",
            "telephone_number": "626-858-9460",
            "fax_number": "626-858-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233049",
            "telephone_number": "626-343-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJABOURIAN",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "CA",
            "license": "C36902",
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "CA",
            "license": "CPED4606",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Dixon, LMFT
• Monique Cheree Dixon, LMFT 142173
• Kristine Grace Lee Dizon, FNP-C
• Anna Djabourian
• Ben Djabourian
• DM Laser and Derma Center
• Anthony DO, DPT
• Benjamin DO, PHARM.D
• Trami Thi DO, MS
• Doc Chung Dental Group - Covina, Inc

• Mastectomy Fitter in Covina, CA
• Providers in Covina, CA by specialty
• Mastectomy Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.