Vito'S Pedorthic Center

Primary specialty

PedorthistTaxonomy code 224L00000X

Legal business name

VITO'S PEDORTHIC CENTER

Practice address

143 E Rowland St
Suite 2
Covina, CA 91723-3065

Phone

(626) 858-9460

Fax

(626) 858-9767

NPI assigned

Mar 22, 2017

Organization subpart

No

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

Authorized official

Name

Ben Djabourian, C.PED

Title

Pedorthist/Owner

Phone

(626) 858-9460

Specialties & licenses 5

Addresses

Practitioners 1

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

• Victoria Djabourian

  • Mastectomy Fitter
  • Covina, CA
  • NPI 1417603028

  Orthotist

  NPD

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1508397514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233049",
            "telephone_number": "626-858-9460",
            "fax_number": "626-858-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E ROWLAND ST",
            "address_2": "SUITE 2",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233065",
            "telephone_number": "626-858-9460",
            "fax_number": "626-858-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITO'S PEDORTHIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "DJABOURIAN",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PEDORTHIST/OWNER",
        "authorized_official_telephone_number": "626-858-9460",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Vargas Vitale, M.S. MFTI
• Vitas Health Services of California Inc
• Vitas Healthcare Corporation of California
• Allyson Viteri
• Breanna Leigh Vitiello, LCSW
• Vitos Pedorthic Center Inc
• Isaac Vizcarra
• Marilyn Ann Jazmine Vladic
• Leena Vo, OT
• Chenh Man Vong, O.D.

• Pedorthist in Covina, CA
• Providers in Covina, CA by specialty
• Pedorthist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.