Active NPI
Modern Nephrology a Professional Medical Corporation
Doing business as Modern Nephrology
- Nephrology Physician
- Reseda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MODERN NEPHROLOGY A PROFESSIONAL MEDICAL CORPORATION
- Doing business as
- Modern Nephrology
- Practice address
- 18040 Sherman Way Ste 210
Reseda, CA 91335-4631 - Phone
- (818) 371-0338
- NPI assigned
- Jan 15, 2020
- Last updated
- Jan 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vartan Daniel Papazian, DO
- Title
- Secretary
- Phone
- (818) 371-0338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
18040 Sherman Way Ste 210
Reseda, CA 91335-4631
Mailing address
16834 Armstead St
Granada Hills, CA 91344-2703
Other names 1
- Modern Nephrology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
501 W Glenoaks Blvd
Ste 221
Glendale, CA 91202
1206 W Avenue J
Ste 220
Lancaster, CA 93534
1206 W Avenue J
Ste 220B
Lancaster, CA 93534
Phone (661) 942-6565
44155 15th St W
Lancaster, CA 93534
Phone (661) 949-5366
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579046400000",
"number": "1881234128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16834 ARMSTEAD ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913442703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18040 SHERMAN WAY STE 210",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354631",
"telephone_number": "818-371-0338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN NEPHROLOGY A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-15",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A",
"authorized_official_last_name": "PAPAZIAN",
"authorized_official_first_name": "VARTAN",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "818-371-0338",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Modern Nephrology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.