Individual provider Active NPI

Renya Bazikian, MA

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1447938972
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
5880 San Vicente Blvd Ste 103
Los Angeles, CA 90019-6667
Phone
(310) 295-9571
NPI assigned
Jul 5, 2023
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

5880 San Vicente Blvd Ste 103
Los Angeles, CA 90019-6667

Mailing address

124 W Chevy Chase Dr
Glendale, CA 91204-2316
Phone (818) 397-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Point Center for Psychotherapy CurrentSince Jul 9, 2023 Accepting new patients
Dr. Trisha D Wallis, Psychologist, Apc CurrentSince Jul 9, 2023 Accepting new patients

Locations

425 University Ave
Ste 100
Sacramento, CA 95825
Phone (916) 284-1416

Organizations & group practices 2

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1447938972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042316",
            "telephone_number": "818-397-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 SAN VICENTE BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196667",
            "telephone_number": "310-295-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZIKIAN",
        "first_name": "RENYA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.