Individual provider Active NPI

Artur Vardanyan, M.D.

  • General Practice Physician
  • Glendale, CA
National Provider Identifier
1497073084
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A127250 Issued in CA
Practice address
800 S Central Ave
Ste 308
Glendale, CA 91204-4644
Phone
(818) 549-8800
Fax
(818) 549-8811
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME 105695 FL
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X ME105695 FL
General Practice Physician 208D00000X A127250 CA Primary

Addresses

Primary practice location

800 S Central Ave
Ste 308
Glendale, CA 91204-4644

Mailing address

800 S Central Ave
Ste 308
Glendale, CA 91204-4644
Phone (818) 549-8800

Other identifiers 3

IdentifierTypeStateIssuer
148U6OtherFLBCBS
P00863023OtherRR MEDICARE ATTACHED TO GRP# DQ1103
002357800MedicaidFL

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
I20161011000490 CA Practitioner - General Practice 0749313849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All for Health Health for All IncGroup PAC ID 5698734788, 37 clinicians

Practice addresses (Care Compare)

401 S Glenoaks Blvd
Burbank, CA 91502-2707
Phone (818) 748-1740

5160 Vineland Ave
North Hollywood, CA 91601-3888
Phone (818) 738-7774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105695FLMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
A127250CAMDGeneral Practice Physician
ME 105695FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Aug 8, 2016 Accepting new patients
All for Health Health for All Inc Current Accepting new patients
All for Health Health for All Inc CurrentSince Aug 8, 2016 Accepting new patients
Northwest Florida Healthcare, Inc Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Hyperbaric & Woundcare Inc Undersea and Hyperbaric Medicine Past Accepting new patients
Hyperbaric & Woundcare Inc Undersea and Hyperbaric Medicine Past Accepting new patients

Locations

401 S Glenoaks Blvd
Ste 101
Burbank, CA 91502
Phone (818) 748-1740

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

800 S Central Ave
Ste 308
Glendale, CA 91204
Phone (818) 332-2233

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: artur.vardanyan.p1@direct.afh.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1497073084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE",
            "address_2": "STE 308",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044644",
            "telephone_number": "818-549-8800",
            "fax_number": "818-549-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE",
            "address_2": "STE 308",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044644",
            "telephone_number": "818-549-8800",
            "fax_number": "818-549-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDANYAN",
        "first_name": "ARTUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 105695",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME105695",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A127250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "148U6",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ATTACHED TO GRP# DQ1103",
            "identifier": "P00863023",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002357800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.