Active NPI
Artur Vardanyan, M.D.
- General Practice Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A127250
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148U6 | Other | FL | BCBS |
| P00863023 | Other | RR MEDICARE ATTACHED TO GRP# DQ1103 | |
| 002357800 | Medicaid | FL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME105695 | FL | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| A127250 | CA | MD | General Practice Physician |
| ME 105695 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Health Health for All Inc | Current | Accepting new patients | |
| All for Health Health for All Inc | Current | Accepting new patients | |
| All for Health Health for All Inc | Current | 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
- artur.vardanyan.p1@direct.afh.nextgenshare.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Glendale, CA
- NPI 1568567220
-
- Federally Qualified Health Center (FQHC)
- Glendale, CA
- NPI 1609207125
-
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
- NPI 1023799285
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Tampa, FL
- NPI 1457308173
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Hazlehurst, GA
- NPI 1780105296
-
- Medicare Defined Swing Bed Hospital Unit
- Chipley, FL
- NPI 1659438760
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.