Individual provider Active NPI

Vasken Leon Keleshian, MD

  • Interventional Cardiology Physician
  • Escondido, CA
National Provider Identifier
1770947384
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A160638 Issued in CA
Practice address
2130 Citracado Pkwy Ste 220
Escondido, CA 92029-4151
Phone
(714) 343-1039
NPI assigned
Apr 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A160638 CA
Interventional Cardiology Physician 207RI0011X A160638 CA Primary

Addresses

Primary practice location

2130 Citracado Pkwy Ste 220
Escondido, CA 92029-4151

Mailing address

2130 Citracado Pkwy Ste 220
Escondido, CA 92029-4151
Phone (760) 743-0546

Other identifiers 1

IdentifierTypeStateIssuer
A160638OtherCAMEDICAL LICENSE

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200504000870 CA Practitioner - Internal Medicine 3779875273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

2130 Citracado Pkwy
Escondido, CA 92029-4149
Phone (858) 673-2450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A160638CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents CurrentSince Apr 1, 2020 Accepting new patients
UC Regents Current Accepting new patients
Arch Health Partners, Inc Internal Medicine CurrentSince Jul 3, 2023 Accepting new patients
Arch Health Partners Internal Medicine CurrentSince Jul 3, 2023 Accepting new patients
UC Regents CurrentSince Apr 1, 2020 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

2130 Citracado Pkwy
Ste 200
Escondido, CA 92029
Phone (760) 743-4789

2130 Citracado Pkwy
Ste 220
Escondido, CA 92029
Phone (619) 823-3146

2130 Citracado Pkwy
Escondido, CA 92029
Phone (858) 485-1111

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vasken.keleshian.p1@direct.arch.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1770947384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 CITRACADO PKWY STE 220",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294151",
            "telephone_number": "760-743-0546",
            "fax_number": "760-743-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 CITRACADO PKWY STE 220",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294151",
            "telephone_number": "714-343-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELESHIAN",
        "first_name": "VASKEN",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-09",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A160638",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A160638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A160638",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.