Revik Vartanian, DO

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A15081 Issued in CA

Practice address

51 N 5TH Ave Ste 301
Arcadia, CA 91006-3712

Phone

(626) 460-1096

Fax

(888) 425-9079

NPI assigned

Dec 14, 2015

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and RehabilitationAlso: Interventional Pain Management

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Active Sports Medicine ClinicGroup PAC ID 5294272985, 2 clinicians

Integrated Rehab Consultants California IncGroup PAC ID 0547499865, 39 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Active Sports Medicine Clinic

  • Sports Medicine (Internal Medicine) Physician
  • Glendale, CA
  • NPI 1346091238

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Integrated Rehab Consultants California Inc

  • Physical Medicine & Rehabilitation Physician
  • Playa del Rey, CA
  • NPI 1023449741

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• California Sports and Spine Institute, PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Glendale, CA
  • NPI 1801327606

  Multi-Specialty

  Medicare reassignment NPD
• Michael Decker, DO, Inc

  • Skilled Nursing Facility
  • Hermosa Beach, CA
  • NPI 1528410842

  Multi-Specialty

  Medicare reassignment NPD
• West Coast Health and Rehab PC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
  • NPI 1043743891

  CA, Multi-Specialty

  Medicare reassignment NPD
• California Sports and Spine Institute, PC

  • Physical Medicine & Rehabilitation Physician
  • Arcadia, CA
  • NPI 1972194546
  NPD (past)

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1811352040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 5TH AVE STE 301",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063712",
            "telephone_number": "626-460-1096",
            "fax_number": "888-425-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 5TH AVE STE 301",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063712",
            "telephone_number": "626-460-1096",
            "fax_number": "888-425-9079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Central Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912042563",
            "country_code": "US",
            "telephone_number": "818-338-6860",
            "fax_number": "888-425-9079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARTANIAN",
        "first_name": "REVIK",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-14",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A15081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Rouhe Van Rooyen, RD
• Rennae Vance
• Vantage Foot and Ankle Center
• Jeffrey Vargas
• Melanie Vargas, NP
• Vascular Care Specialists of Los Angeles
• Jasmine A Vasquez Hirt, LCSW
• Danny Vasquez
• Jose Daniel Vasquez
• Joshua Vasquez

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.