Vazgen Edward Yaghoubian, PHD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2020 East 1St Street
Ste 103
Santa Ana, CA 92705-2435

Phone

(818) 288-7155

Fax

(714) 829-3011

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1962562611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SAINTSBURY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926024025",
            "telephone_number": "818-288-7155",
            "fax_number": "714-829-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 EAST 1ST STREET",
            "address_2": "STE 103",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052435",
            "telephone_number": "818-288-7155",
            "fax_number": "714-829-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGHOUBIAN",
        "first_name": "VAZGEN",
        "middle_name": "EDWARD",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "509248",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasouwa Xiong
• Leslie Arleen Xitumul
• Cong Xu, RN
• Willem Xu, MD
• Ying Xue
• Angela Yakscoe, BCBA
• Ethan Arda Yalvac, M.D.
• Vuthy Yam
• Ryan Yamamoto
• Takeo Yamamoto, D.D.S.

• Registered Dietitian in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.