Vahe T Azizian, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A39786 Issued in CA

Practice address

2840 E Los Angeles Ave
Simi Valley, CA 98065

Phone

(805) 584-1633

Fax

(805) 526-1438

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vahe T Azizian Professional name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Superclinic Professionals Medical Corp a California CorporationGroup PAC ID 6507120656, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Superclinic Professionals Medical Corp a California Corporation

  • Multi-Specialty Clinic/Center
  • North Hollywood, CA
  • NPI 1326564212
  Medicare reassignment Care Compare group NPD
• Simi Womens Center Inc

  • Gynecology Physician
  • Simi Valley, CA
  • NPI 1174686372
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1457414658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653937",
            "telephone_number": "805-584-1633",
            "fax_number": "805-526-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "98065",
            "telephone_number": "805-584-1633",
            "fax_number": "805-526-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZIAN",
        "first_name": "VAHE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A39786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VAHE",
            "last_name": "AZIZIAN",
            "middle_name": "T",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Madlen Ayvazian, LCSW
• Yelena Ayzenberg, PHARM D
• Azar Daneshbod MD Medical Corporation
• Marina Azer
• Imaan Aziz, PHARMD
• Sol Azuaje, LVN
• B M Partners, Inc (Visiting Angels)
• Armen E Babakhanyan
• Gore Badikyan, PHARMD
• Madison Faith Baer-Gosaynie

• Gynecology Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.