Rouben Virabov, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA17404 Issued in CA

Practice address

1510 S Central Ave Ste 100
Glendale, CA 91204-2582

Phone

(818) 240-1820

Fax

(818) 240-1021

NPI assigned

Jun 20, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Burbank City Hospice, Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
  • NPI 1700487824
  NPD Authorized official
• Generations Home Health, Inc.

  • Home Health Agency
  • Irvine, CA
  • NPI 1245417724
  NPD (past) Authorized official
• Burbank City Home Health, Inc

  • Home Health Agency
  • Oceanside, CA
  • NPI 1184225203
  NPD
• Premier Care at Home Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
  • NPI 1457671521
  NPD
• Mission Trauma Surgical Medical GRP

  • Trauma Surgery Physician
  • Mission Viejo, CA
  • NPI 1952327348
  NPD (past)
• Premier Nursing, Inc.

  • Home Health Agency
  • Burbank, CA
  • NPI 1275739047
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801091723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 VALLEY VIEW RD APT 13",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021732",
            "telephone_number": "818-242-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042582",
            "telephone_number": "818-240-1820",
            "fax_number": "818-240-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRABOV",
        "first_name": "ROUBEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Villasenor
• Christian Villegas
• Nicole Villegas
• Vincent a. Sayoc, D.D.S., Inc.
• Delfin Carmichael Viola
• Christina Ann Viramontes
• Teresa Virgen
• Virgo Hospice Inc.
• Virtue Home Health Care, Inc.
• Virtuous Care Hospice Inc.

• Medical Physician Assistant in Glendale, CA
• Providers in Glendale, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.