Individual provider Active NPI

Karmen Sergei Tatulian, M.D.

  • General Practice Physician
  • Arleta, CA
National Provider Identifier
1851561807
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A 101992 Issued in CA
Practice address
8902 Woodman Ave
Arleta, CA 91331-6401
Phone
(818) 830-7033
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A 101992 CA Primary

Addresses

Primary practice location

8902 Woodman Ave
Arleta, CA 91331-6401

Mailing address

8902 Woodman Avenue
El Proyecto del Barrio, Inc.
Arleta, CA 91331
Phone (818) 830-7033

Other names 1

  • Dr. Karmen Sergei Vartanian Other name

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
I20080514000899 CA Practitioner - Family PracticePractitioner - General Practice 3971672049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Proyecto del Barrio IncGroup PAC ID 3476546227, 27 clinicians

Practice addresses (Care Compare)

150 N Azusa Ave
Azusa, CA 91702-3521
Phone (626) 969-7885

18250 Roscoe Blvd
Suite 200
Northridge, CA 91325-4226
Phone (818) 721-4800

20800 Sherman Way
Canoga Park, CA 91306-2707
Phone (818) 883-2273

8902 Woodman Ave
Arleta, CA 91331-6401
Phone (818) 830-7080

9140 Van Nuys Blvd
Suite 207
Panorama City, CA 91402-6763
Phone (818) 830-7181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101992CAMDPeriodontist
A 101992CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Proyecto del Barrio, Inc. CurrentSince Feb 9, 2010 Accepting new patients
El Proyecto del Barrio, Inc. Current Accepting new patients
El Proyecto del Barrio, Inc. CurrentSince Feb 9, 2010 Accepting new patients
El Proyecto del Barrio, Inc. Current Accepting new patients

Locations

8902 Woodman Ave
Arleta, CA 91331
Phone (818) 830-7033

150 N Azusa Ave
Azusa, CA 91702
Phone (626) 969-7885

3942 Maine Ave
Baldwin Park, CA 91706
Phone (626) 678-9296

20800 Sherman Way
Winnetka, CA 91306
Phone (818) 883-2273

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
El Proyecto del Barrio, Inc/WinnetkaWinnetka, CA, CCN 051104 Federally qualified health center Corporate Director Dec 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1851561807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 WOODMAN AVENUE",
            "address_2": "EL PROYECTO DEL BARRIO, INC.",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "91331",
            "telephone_number": "818-830-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 WOODMAN AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316401",
            "telephone_number": "818-830-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATULIAN",
        "first_name": "KARMEN",
        "middle_name": "SERGEI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A 101992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARMEN",
            "last_name": "VARTANIAN",
            "middle_name": "SERGEI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arleta, CA

Sources for this page

Verify at the official NPI Registry.