Active NPI
Renee Marie Grant Vartabedian, D.C.
- Chiropractor
- Cardiff by the Sea, CA
National Provider Identifier
1861815664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28075
- Practice address
- 2045 San Elijo Ave
Cardiff by the Sea, CA 92007-1726 - Phone
- (760) 402-6119
- NPI assigned
- Jan 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28075 | CA | Primary |
Addresses
Primary practice location
2045 San Elijo Ave
Cardiff by the Sea, CA 92007-1726
Mailing address
5258 Coleridge CT
Carlsbad, CA 92008-4607
Phone (760) 402-6119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28075 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1861815664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5258 COLERIDGE CT",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920084607",
"telephone_number": "760-402-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 SAN ELIJO AVE",
"city": "CARDIFF BY THE SEA",
"state": "CA",
"postal_code": "920071726",
"telephone_number": "760-402-6119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT VARTABEDIAN",
"first_name": "RENEE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-29",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cardiff by the Sea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.