Individual provider Active NPI

Vartan Tarakchyan, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1508887720
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A73766 Issued in CA
Practice address
1711 W Temple St
Los Angeles, CA 90026-5421
Phone
(213) 989-6100
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A73766 CA Primary

Addresses

Primary practice location

1711 W Temple St
Los Angeles, CA 90026-5421

Mailing address

PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900

Other identifiers 2

IdentifierTypeStateIssuer
00A737660OtherCABLUE SHIELD
00A737660MedicaidCA

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
I20040117000208 CA Practitioner - Anesthesiology 5799686127 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesia Physicians Medical Group IncGroup PAC ID 2961824891, 17 clinicians

Practice addresses (Care Compare)

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 885-8500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tip Top Anesthesia Group Inc CurrentSince Sep 12, 2024 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Jul 14, 2018 Accepting new patients
La Quality Care Anesthesia Consultants Inc Anesthesiology CurrentSince Jul 2, 2019 Accepting new patients
Tiger Valley Medical Group, Inc Anesthesiology CurrentSince Nov 1, 2015 Accepting new patients
Buena Vista Anesthesia Medical Group Anesthesiology CurrentSince Jan 27, 2014 Accepting new patients
Valley Anesthesia Physicians Medical Group, Inc Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Jul 14, 2018 Accepting new patients

Locations

1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025

50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

5700 San Fernando Rd
Glendale, CA 91202
Phone (818) 637-7766

1500 E Chevy Chase Dr
Ste 101
Glendale, CA 91206
Phone (818) 265-1581

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1711 W Temple St
Los Angeles, CA 90026
Phone (213) 989-6100

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

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.

Hospital & facility affiliations 1

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1508887720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5486",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635486",
            "telephone_number": "818-550-0900",
            "fax_number": "303-953-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-989-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAKCHYAN",
        "first_name": "VARTAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A73766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A737660",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A737660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.