Active NPI
Vagram Sulukyan, RD
- Registered Dietitian
- Reseda, CA
National Provider Identifier
1649698473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1107510
- Practice address
- 18554 Elkwood St
Reseda, CA 91335-1846 - Phone
- (818) 388-1525
- NPI assigned
- Mar 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1107510 | CA | Primary |
Addresses
Primary practice location
18554 Elkwood St
Reseda, CA 91335-1846
Mailing address
18554 Elkwood St
Reseda, CA 91335-1846
Phone (818) 388-1525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1107510 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396051200000",
"number": "1649698473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18554 ELKWOOD ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913351846",
"telephone_number": "818-388-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18554 ELKWOOD ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913351846",
"telephone_number": "818-388-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULUKYAN",
"first_name": "VAGRAM",
"name_prefix": "Mr.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-29",
"last_updated": "2014-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1107510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.