Individual provider Active NPI

Roberto J. Vado, ED.D.

  • Psychologist
  • Burbank, CA
National Provider Identifier
1740601228
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY27373 Issued in CA
Practice address
4210 W Sarah St
Apt 7
Burbank, CA 91505-3816
Phone
(323) 401-2958
NPI assigned
Dec 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY27373 CA Primary

Addresses

Primary practice location

4210 W Sarah St
Apt 7
Burbank, CA 91505-3816

Mailing address

4210 W Sarah St
Apt 7
Burbank, CA 91505-3816
Phone (323) 401-2958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112002226 CA Practitioner - Clinical Psychologist 9739481490 Reassigns benefits to 2 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1142 S Diamond Bar Blvd
Suite 383
Diamond Bar, CA 91765-2203

5516 York Blvd
Los Angeles, CA 90042-2404
Phone (818) 821-6012

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY27373CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Psych Services Inc CurrentSince May 27, 2017 Accepting new patients
Pacific Coast Psychology Group, Inc. Psychologist CurrentSince Oct 18, 2023 Accepting new patients
Illuminating Psychological Services Corporation CurrentSince Apr 21, 2025 Accepting new patients
Brian Wu MD PHD Inc PastSince Oct 1, 2024 Accepting new patients

Locations

1611 Height St
Bakersfield, CA 93305
Phone (661) 748-1300

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

2335 Mountain Ave
Duarte, CA 91010
Phone (626) 357-3207

1650 Spruce St
Ste 240
Riverside, CA 92507
Phone (909) 856-5904

12501 Chandler Blvd
Ste 102
Valley Vlg, CA 91607
Phone (818) 414-4162

31194 La Baya Dr
Ste 100
Westlake Village, CA 91362
Phone (805) 242-2429

31356 Via Colinas
Ste 114
Westlake Village, CA 91362
Phone (805) 622-7778

1014 S Westlake Blvd
Ste 14243
Westlake Vlg, CA 91361

Organizations & group practices 4

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": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1740601228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 W SARAH ST",
            "address_2": "APT 7",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053816",
            "telephone_number": "323-401-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 W SARAH ST",
            "address_2": "APT 7",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053816",
            "telephone_number": "323-401-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADO",
        "first_name": "ROBERTO",
        "middle_name": "J.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-30",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.