Dr. Kazarian Professional Medical Corp

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A104760 Issued in CA

Legal business name

DR. KAZARIAN PROFESSIONAL MEDICAL CORP

Practice address

4735 S Durango Dr Ste 101
Las Vegas, NV 89147-8164

Phone

(725) 735-7338

Fax

(725) 735-7338

NPI assigned

Sep 6, 2016

Last updated

Aug 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vahe Kazarian, MDNPI 1477711661

Title

Owner

Phone

(818) 632-3502

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vahe Kazarian, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1477711661

  CA

  Medicare reassignment Authorized official
• Anahit Hakobyan, FNP-C

  • Family Nurse Practitioner
  • Sun Valley, CA
  • NPI 1235866013
  NPD

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1699222851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 S DURANGO DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478164",
            "telephone_number": "725-735-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 S DURANGO DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478164",
            "telephone_number": "725-735-7338",
            "fax_number": "725-735-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8337 Laurel Canyon Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "CA",
            "postal_code": "913523809",
            "country_code": "US",
            "telephone_number": "818-632-3502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. KAZARIAN PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "KAZARIAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-632-3502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A104760",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Urgent Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.