Organization Active NPI

Vaga Medical

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1861157091
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VAGA MEDICAL
Practice address
19531 Ventura Blvd Unit 9
Tarzana, CA 91356-2957
Phone
(800) 850-2082
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Anahit Harutyunyan
Title
Ceo
Phone
(800) 850-2082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19531 Ventura Blvd Unit 9
Tarzana, CA 91356-2957

Mailing address

19531 Ventura Blvd Unit 9
Tarzana, CA 91356-2957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230815001616 CA Part A Provider - Home Health Agency 0244602134 Practice locations: Tarzana, CA

Home health agency certification: CCN 757495

Legal name
VAGA MEDICAL
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 23, 2023
Last certification
Oct 18, 2023
Organization structure
CorporationProprietary
Incorporated
Sep 30, 2021 in CA
Enrollment address
19531 Ventura Blvd
Unit 9
Tarzana, CA 91356-2957

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vaga MedicalCCN 757495
Overall star rating
3.5 of 5
Ownership
-
Certified
Oct 23, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

19531 Ventura Blvd
Unit 9
Tarzana, CA 91356
Phone (800) 850-2082

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anahit Harutyunyan Individual 5% Or Greater Direct Ownership InterestCeo;Pres;Cfo;Secy;BM &Owner Sep 30, 2021 100%
Corporate OfficerCeo;Pres;Cfo;Secy;BM &Owner Sep 30, 2021 100%
Corporate DirectorCeo;Pres;Cfo;Secy;BM &Owner Sep 30, 2021 100%
W-2 Managing EmployeeCeo;Pres;Cfo;Secy;BM &Owner Sep 30, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1861157091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19531 VENTURA BLVD UNIT 9",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19531 VENTURA BLVD UNIT 9",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562957",
            "telephone_number": "800-850-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAGA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "ANAHIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-850-2082"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.