Noubar Varderessian, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC006823 Issued in PA

Practice address

1122 N Columbus Ave
Apt. 2
Glendale, CA 91202-3241

Phone

(818) 606-6740

NPI assigned

Apr 9, 2017

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rabin Beral DPM a Podiatry CorporationGroup PAC ID 0345216065, 6 clinicians

Hollywood Foot and Ankle Center IncGroup PAC ID 5294255774, 2 clinicians

Tarzana Foot and Ankle Center IncGroup PAC ID 4688088586, 7 clinicians

Empire Foot and Ankle Center IncGroup PAC ID 1254617244, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bright Home Health Care Home health agency, Glendale, CA, CCN 757151
• Memorial Hospital of Gardena Hospital, Gardena, CA, CCN 050468
• Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empire Foot and Ankle Center Inc.

  • Foot & Ankle Surgery Podiatrist
  • Upland, CA
  • NPI 1205387461
  Medicare reassignment Care Compare group NPD
• Hollywood Foot and Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • N Hollywood, CA
  • NPI 1407669542
  Medicare reassignment Care Compare group NPD
• Rabin Beral DPM a Podiatry Corporation

  • Foot & Ankle Surgery Podiatrist
  • Gardena, CA
  • NPI 1215027446
  Medicare reassignment Care Compare group NPD
• Tarzana Foot and Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Tarzana, CA
  • NPI 1124617576
  Medicare reassignment Care Compare group NPD
• Foot and Ankle Care Team Inc

  dba Empire Foot and Ankle II

  • Foot & Ankle Surgery Podiatrist
  • Chino, CA
  • NPI 1649740556
  Medicare reassignment
• Riverside Foot and Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Riverside, CA
  • NPI 1700535705
  NPD (past)

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

• Bright Home Health Care

  • Home Health Agency
  • Glendale, CA
  • NPI 1700486271
  Care Compare affiliation
• Gardena Hospital LP

  dba Memorial Hospital of Gardena

  • General Acute Care Hospital
  • Gardena, CA
  • NPI 1063412005
  Care Compare affiliation
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  Care Compare affiliation

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1790218550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N COLUMBUS AVE",
            "address_2": "APT. 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023241",
            "telephone_number": "818-606-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N COLUMBUS AVE",
            "address_2": "APT. 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023241",
            "telephone_number": "818-606-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDERESSIAN",
        "first_name": "NOUBAR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-09",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artur Vardanyan, M.D.
• Karmen Vardanyan
• Lida Vardanyan
• Margarit Vardanyan, SLP
• Mikayel Vardanyan
• Vardui Arutyunyan-MD Inc
• Lianna Vardumyan
• Danielle B Vargas-O'Connell
• Criscelle Vargas
• Karina Vargas

• Foot & Ankle Surgery Podiatrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.