Individual provider Active NPI

Vahe Badalian, M.D.

  • Cardiovascular Disease Physician
  • Glendale, CA
National Provider Identifier
1477625945
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A45222 Issued in CA
Practice address
1530 E Chevy Chase Dr Ste 201
Glendale, CA 91206
Phone
(818) 247-9200
Fax
(818) 484-8190
NPI assigned
Nov 14, 2006
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A45222 CA Primary

Addresses

Primary practice location

1530 E Chevy Chase Dr Ste 201
Glendale, CA 91206

Mailing address

1530 E Chevy Chase Dr Ste 201
Glendale, CA 91206-4139
Phone (818) 247-9200

Other practice location 1

1560 E Chevy Chase Dr Ste 240
Glendale, CA 91206-4140
Phone (818) 247-9200

Other identifiers 1

IdentifierTypeStateIssuer
00A452220MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000175 CA Practitioner - Cardiovascular Disease (Cardiology) 9436341062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1530 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4139
Phone (818) 247-9200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A45222CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vahe Badalian MD Inc Cardiovascular Disease CurrentSince Jul 1, 1989 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jun 1, 2014 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jun 1, 2014 Accepting new patients
Southern California Heart and Vascular Center Cardiovascular Disease PastSince Oct 22, 2010 Accepting new patients

Locations

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1530 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 247-9200

1560 E Chevy Chase Dr
Ste 240
Glendale, CA 91206
Phone (818) 548-7178

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1477625945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E CHEVY CHASE DR STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064139",
            "telephone_number": "818-247-9200",
            "fax_number": "818-484-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E CHEVY CHASE DR STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91206",
            "telephone_number": "818-247-9200",
            "fax_number": "818-484-8190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 E Chevy Chase Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064140",
            "country_code": "US",
            "telephone_number": "818-247-9200",
            "fax_number": "818-247-9382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADALIAN",
        "first_name": "VAHE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A45222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A452220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.