Active NPI
Vatche B. Bardakjian, M.D, Inc
- Ambulatory Surgical Clinic/Center
- Glendale, CA
National Provider Identifier
1609233121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A45955
- Legal business name
- VATCHE B. BARDAKJIAN, M.D, INC
- Practice address
- 1577 E Chevy Chase Dr Ste 250
Glendale, CA 91206-4172 - Phone
- (818) 247-4894
- Fax
- (818) 247-4163
- NPI assigned
- Jan 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vatche B Bardakjian, M.D
- Title
- Ceo
- Phone
- (818) 247-4894
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | A45955 | CA | Primary |
Addresses
Primary practice location
1577 E Chevy Chase Dr Ste 250
Glendale, CA 91206-4172
Mailing address
1577 E Chevy Chase Dr Ste 250
Glendale, CA 91206-4172
Phone (818) 247-4894
National Provider Directory
National Provider DirectoryLocations
1577 E Chevy Chase Dr
Ste 250
Glendale, CA 91206
Phone (818) 247-4894
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Glendale, CA
- NPI 1386774255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453939200000",
"number": "1609233121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1577 E CHEVY CHASE DR STE 250",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064172",
"telephone_number": "818-247-4894",
"fax_number": "818-247-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1577 E CHEVY CHASE DR STE 250",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064172",
"telephone_number": "818-247-4894",
"fax_number": "818-247-4163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VATCHE B. BARDAKJIAN, M.D, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-28",
"last_updated": "2016-01-28",
"status": "A",
"authorized_official_last_name": "BARDAKJIAN",
"authorized_official_first_name": "VATCHE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-247-4894",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "A45955",
"primary": true
}
],
"identifiers": [],
"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 Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.