Vadim Danielian

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95009567 Issued in CA

Practice address

9439 Via Venezia
Burbank, CA 91504-1244

Phone

(323) 821-7772

NPI assigned

Oct 30, 2018

Last updated

Oct 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Care First Home Health Care Inc

  dba Optimal Care First

  • Home Health Agency
  • Simi Valley, CA
  • NPI 1619532702

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• St Vincent Hospice Services, Inc

  • Community Based Hospice Care Agency
  • Pasadena, CA
  • NPI 1447666995

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Universal Mobile Doctors Inc

  • Adult Medicine Physician
  • Van Nuys, CA
  • NPI 1386269306
  Medicare reassignment NPD Authorized official
• Care First Home Health Care Inc

  dba Optimal Care First

  • Home Health Agency
  • Simi Valley, CA
  • NPI 1619532702
  NPD Authorized official
• St Vincent Hospice Services, Inc

  • Community Based Hospice Care Agency
  • Pasadena, CA
  • NPI 1447666995
  NPD Authorized official
• Prof.Imaging Grpoup, Inc

  • Diagnostic Radiology Physician
  • South Gate, CA
  • NPI 1598711046
  Authorized official Same address or phone
• Mediscan Plus, Inc

  • Mobile Radiology Clinic/Center
  • Houston, TX
  • NPI 1720281504
  NPD (past) Authorized official
• Sonotech Imaging, Inc

  • Physiological Laboratory
  • Houston, TX
  • NPI 1063685766
  NPD (past) Authorized official

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1689141483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9439 VIA VENEZIA",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041244",
            "telephone_number": "323-821-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9439 VIA VENEZIA",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041244",
            "telephone_number": "323-821-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELIAN",
        "first_name": "VADIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Andranik Danayan
• Daniel K. Dea M.D., Inc.
• Daniel Levitan MD Inc
• Marie Danielian
• Narine Danielian, DDS
• Christina D Daniels-Davidson
• Athina Danilo
• Thomas James Danis Jr., LPCC
• Tri Duy Dao, M.D.
• Mohammad Daood, M.D.

• Family Nurse Practitioner in Burbank, CA
• Providers in Burbank, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.