Organization Active NPI

Moonlight Sleep Center Inc

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • North Hollywood, CA
National Provider Identifier
1710848718
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
MOONLIGHT SLEEP CENTER INC
Practice address
5000 Lankershim Blvd Ste 108
North Hollywood, CA 91601-4222
Phone
(818) 813-8178
Fax
(818) 319-8179
NPI assigned
Nov 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Lusine Vardanyan
Title
Ceo
Phone
(818) 813-8178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084S0012X Primary

Addresses

Primary practice location

5000 Lankershim Blvd Ste 108
North Hollywood, CA 91601-4222

Mailing address

5000 Lankershim Blvd Ste 108
North Hollywood, CA 91601-4222
Phone (818) 813-8178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260122003299 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5496232258 Practice locations: North Hollywood, CA

National Provider Directory

National Provider Directory

Locations

5000 Lankershim Blvd
Ste 108
North Hollywood, CA 91601
Phone (818) 813-8178

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1710848718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LANKERSHIM BLVD STE 108",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014222",
            "telephone_number": "818-813-8178",
            "fax_number": "818-319-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LANKERSHIM BLVD STE 108",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014222",
            "telephone_number": "818-813-8178",
            "fax_number": "818-319-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT SLEEP CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-813-8178"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.