Organization Active NPI

Vardui Asiryan MD Inc

  • Obstetrics & Gynecology Physician
  • Burbank, CA
National Provider Identifier
1508221607
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A128242 Issued in CA
Legal business name
VARDUI ASIRYAN MD INC
Practice address
1411 W Olive Ave Ste D
Burbank, CA 91506-2400
Phone
(818) 484-8380
Fax
(818) 484-8879
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Dr. Vardui Asiryan, MDNPI 1487880506
Title
Owner
Phone
(818) 484-8380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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) 484-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160205000530 CA Part B Supplier - Clinic/Group Practice 1153625579 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1508221607",
    "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": "818-484-8380",
            "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": {
        "organization_name": "VARDUI ASIRYAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "ASIRYAN",
        "authorized_official_first_name": "VARDUI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-484-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A128242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.