Vazgen Tervardanyan, RDHAP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

HAP234 Issued in CA

Practice address

23772 Newhall Ave
Newhall, CA 91321-3125

Phone

(661) 291-1777

Fax

(661) 255-1208

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGFFAD

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.

• Samuel Dixon Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Val Verde, CA
  • NPI 1154402675
  NPD
• Newhall Health Center

  • Voluntary or Charitable Agency
  • Newhall, CA
  • NPI 1306139886
  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1801491501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25115 AVENUE STANFORD STE A-104",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551290",
            "telephone_number": "661-257-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23772 NEWHALL AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913213125",
            "telephone_number": "661-291-1777",
            "fax_number": "661-255-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERVARDANYAN",
        "first_name": "VAZGEN",
        "credential": "RDHAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcella Andrea Taylor-Snel, LCSW
• Hailey McKenzie Taylor
• Jeanne Marie Taylor, MFT
• Sina Tebi, M.D.
• Phet Yoon Tejavanija, M.D.
• The Dome SCV LLC
• Denise Ajalat Theberge, PH.D.
• Lindsey Thomas
• Sheryl Andria Thorsen, LCSW
• Nina Tilkian, PHARM D

• Dental Hygienist in Newhall, CA
• Providers in Newhall, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.