Individual provider Active NPI

Vardush Keshishyan, M.A.

  • Audiologist
  • Glendale, CA
National Provider Identifier
1932137023
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2379 Issued in CA
Practice address
230 N Maryland Ave Ste 200
Glendale, CA 91206-4282
Phone
(818) 726-2279
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2379 CA Primary

Addresses

Primary practice location

230 N Maryland Ave Ste 200
Glendale, CA 91206-4282

Mailing address

230 N Maryland Ave Ste 200
Glendale, CA 91206-4282
Phone (818) 500-0662

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060223000393 CA Practitioner - Qualified Audiologist 6406862796 Reassigns benefits to 1 organization
Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

191 S Buena Vista St
Suite 320a
Burbank, CA 91505-4556
Phone (818) 559-9580

230 N Maryland Ave
Suite 200
Glendale, CA 91206-4282
Phone (818) 500-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AU2379CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Audiology Audiologist CurrentSince Apr 30, 2025 Accepting new patients
Enhance Audiology, Inc Audiologist CurrentSince Mar 24, 2025 Accepting new patients
Brighthear PastSince Aug 16, 2011 Accepting new patients
Hearx West Inc Past Accepting new patients
Hearx West, LLC Past Accepting new patients

Locations

191 S Buena Vista St
Ste 320A
Burbank, CA 91505
Phone (818) 559-9580

230 N Maryland Ave
Ste 200
Glendale, CA 91206
Phone (818) 500-0662

301 S Fair Oaks Ave
Ste 406
Pasadena, CA 91105
Phone (626) 577-5437

800 Fairmount Ave
Ste 323
Pasadena, CA 91105
Phone (213) 334-4111

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1932137023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064282",
            "telephone_number": "818-500-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064282",
            "telephone_number": "818-726-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHISHYAN",
        "first_name": "VARDUSH",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.