Active NPI
Melina Varjabedian
- Physician Assistant
- Woodland Hills, CA
National Provider Identifier
1447884937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58370
- Practice address
- 6101 Owensmouth Ave Unit 55
Woodland Hills, CA 91365-7304 - Phone
- (818) 646-9444
- NPI assigned
- Feb 24, 2020
- Last updated
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58370 | CA | Primary |
Addresses
Primary practice location
6101 Owensmouth Ave Unit 55
Woodland Hills, CA 91365-7304
Mailing address
PO Box 55
Woodland Hills, CA 91365-0055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58370 | CA | MD | Dentist |
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": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1447884937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913650055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 OWENSMOUTH AVE UNIT 55",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913657304",
"telephone_number": "818-646-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARJABEDIAN",
"first_name": "MELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2024-11-08",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.