Vytal Surgical Institute Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VYTAL SURGICAL INSTITUTE INC

Practice address

19228 Ventura Blvd Ste a
Tarzana, CA 91356-3101

Phone

(818) 578-5125

Fax

(818) 578-6039

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Fardin Hakakian, DPM

Title

Ceo

Phone

(818) 578-5125

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1619502283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19228 VENTURA BLVD STE A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563101",
            "telephone_number": "818-578-5125",
            "fax_number": "818-578-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19228 VENTURA BLVD STE A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563101",
            "telephone_number": "818-578-5125",
            "fax_number": "818-578-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYTAL SURGICAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "HAKAKIAN",
        "authorized_official_first_name": "FARDIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-578-5125",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.