Individual provider Active NPI

Vardui Asiryan, M.D.

  • Obstetrics & Gynecology Physician
  • Burbank, CA
National Provider Identifier
1487880506
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A128242 Issued in CA
Practice address
1411 W Olive Ave Ste D
Burbank, CA 91506-2400
Phone
(818) 484-8380
Fax
(818) 484-8879
NPI assigned
Jun 3, 2009
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A128242 CA Primary

Addresses

Primary practice location

1411 W Olive Ave Ste D
Burbank, CA 91506-2400

Mailing address

1305 N San Fernando Blvd
Burbank, CA 91504-4236
Phone (818) 414-1083

Other identifiers 1

IdentifierTypeStateIssuer
1508221607OtherCANPI TYPE 2

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
I20150102000804 CA Practitioner - Obstetrics/Gynecology 2062735780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1305 N San Fernando Blvd
Burbank, CA 91504-4236
Phone (818) 414-1083

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128242CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vardui Asiryan MD Inc Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
Magnolia Women's Center Obstetrics & Gynecology CurrentSince Sep 21, 2014 Accepting new patients

Locations

1305 N San Fernando Blvd
Burbank, CA 91504
Phone (818) 414-1083

1411 W Olive Ave
Ste D
Burbank, CA 91506
Phone (818) 821-3535

3975 Jackson St
Ste 110
Riverside, CA 92503
Phone (951) 351-1071

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.

Hospital & facility affiliations 2

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": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1487880506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044236",
            "telephone_number": "818-414-1083",
            "fax_number": "818-484-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W OLIVE AVE STE D",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062400",
            "telephone_number": "818-484-8380",
            "fax_number": "818-484-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIRYAN",
        "first_name": "VARDUI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A128242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1508221607",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.