Individual provider Active NPI

Sarkis Anthony Vartan, LCSW

  • Clinical Social Worker
  • Turlock, CA
National Provider Identifier
1679624464
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS22278 Issued in CA
Practice address
430 Crane Ave
Suite 106
Turlock, CA 95380-4551
Phone
(209) 535-3541
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS22278 CA Primary

Addresses

Primary practice location

430 Crane Ave
Suite 106
Turlock, CA 95380-4551

Mailing address

2930 Geer Rd Ste 247
Turlock, CA 95382-1142
Phone (209) 535-3541

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

LicenseStateTypeSpecialty
LCS22278CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tellme, a Professional Licensed Clinical Social Worker Corporation Current Accepting new patients

Locations

2930 Geer Rd
Turlock, CA 95382
Phone (209) 202-3235

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1679624464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 GEER RD STE 247",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821142",
            "telephone_number": "209-535-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 CRANE AVE",
            "address_2": "SUITE 106",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804551",
            "telephone_number": "209-535-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTAN",
        "first_name": "SARKIS",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.