Mariam Vartkessian, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62658 Issued in CA

Practice address

11170 Aqua Vista St
Apt B-221
Studio City, CA 91602-3102

Phone

(650) 504-1968

NPI assigned

Jun 17, 2014

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1851705032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11170 AQUA VISTA ST",
            "address_2": "APT B-221",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916023102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11170 AQUA VISTA ST",
            "address_2": "APT B-221",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916023102",
            "telephone_number": "650-504-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTKESSIAN",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catharina Maria Van Houten-Williams, D.C.
• Vanguard Hospice, Inc.
• Greg Vanvakaris, D.C.
• Christina Cara Vartan-Aghadjanian
• Pamela Vartanian, DPT
• Verdugo Inc.
• Verdugo Inc.
• Verve Home Health Care Inc
• Verve Hospice Care Inc
• Veyep

• General Practice Dentistry in Studio City, CA
• Providers in Studio City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.