Vega Medical Group Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VEGA MEDICAL GROUP INC

Practice address

1101 N Pacific Ave Ste 204
Glendale, CA 91202-4316

Phone

(747) 240-6912

Fax

(747) 240-6913

NPI assigned

Mar 12, 2025

Organization subpart

No

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

Authorized official

Name

Vighen Mkrtoumian

Title

Ceo

Phone

(747) 240-6912

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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

• Gurmander S Kohli, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Loma Linda, CA
  • NPI 1225066962
  Medicare reassignment Care Compare group NPD
• Kenneth H Susman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1891720645
  Medicare reassignment Care Compare group NPD
• Lilith Garibyan, NP

  • Family Nurse Practitioner
  • Tujunga, CA
  • NPI 1003526724
  NPD
• Edward M Young Jr., MD

  • Dermatopathology Physician
  • Tarzana, CA
  • NPI 1447324850
  NPD

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1609675404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024316",
            "telephone_number": "747-240-6912",
            "fax_number": "747-240-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024316",
            "telephone_number": "747-240-6912",
            "fax_number": "747-240-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "MKRTOUMIAN",
        "authorized_official_first_name": "VIGHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-240-6912"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Contreras Vazquez, M.D.
• Moncerath Vazquez
• Zulema Vazquez
• VBK Hospice, Inc.
• Ellen Veenstra, M.A.
• Natalia Vega Reyes
• Louella Vega
• Venkata Vegivada
• Sergio Veiga, M.D.
• Vela Behavioral Health a Marriage and Family Therapy Corporation

• Multi-Specialty Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.