Active NPI
Moonlight Sleep Center Inc
- Sleep Medicine (Psychiatry & Neurology) Physician
- North Hollywood, CA
National Provider Identifier
1710848718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260122003299 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5496232258 | Practice locations: North Hollywood, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- Sun Valley, CA
- NPI 1174584965
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.