Active NPI
Nicolas Vardiabasis, DO a Professional Corporation
- Medical Specialty Clinic/Center
- West Hills, CA
National Provider Identifier
1952158370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- NICOLAS VARDIABASIS, DO A PROFESSIONAL CORPORATION
- Practice address
- 7230 Medical Center Dr Ste 500
West Hills, CA 91307-4024 - Phone
- (818) 348-7246
- NPI assigned
- May 3, 2024
- 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
- Dr. Nicolas Vardiabasis, DO
- Title
- President
- Phone
- (562) 547-5319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
7230 Medical Center Dr Ste 500
West Hills, CA 91307-4024
Mailing address
14332 Ventura Blvd
Sherman Oaks, CA 91423-2717
Other practice location 1
14332 Ventura Blvd
Sherman Oaks, CA 91423-2717
Phone (818) 581-2001
National Provider Directory
National Provider DirectoryLocations
14332 Ventura Blvd
Sherman Oaks, CA 91423
Phone (562) 547-5319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718928000000",
"number": "1952158370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14332 VENTURA BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7230 MEDICAL CENTER DR STE 500",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913074024",
"telephone_number": "818-348-7246"
}
],
"practiceLocations": [
{
"address_1": "14332 Ventura Blvd",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914232717",
"country_code": "US",
"telephone_number": "818-581-2001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NICOLAS VARDIABASIS, DO A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-03",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A",
"authorized_official_last_name": "VARDIABASIS",
"authorized_official_first_name": "NICOLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-547-5319",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.