Kristine Vardanyan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

169373 Issued in CA

Practice address

4955 Van Nuys Blvd Ste 502
Sherman Oaks, CA 91403-1817

Phone

(818) 325-0200

Fax

(818) 325-0210

NPI assigned

Jun 22, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Fernando Valley Medical Group IncGroup PAC ID 9931360047, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• All Star Phoenix Inc Home health agency, Agoura Hills, CA, CCN 559274
• Elegant Hospice Care Hospice, Granada Hills, CA, CCN B31554
• Glendale Hospice Inc Hospice, North Hollywood, CA, CCN B31693
• Ensure Hospice, Inc Hospice, Palmdale, CA, CCN B21792
• Healing Halo Hospice and Palliative Care, Inc Hospice, Agoura Hills, CA, CCN A11547
• People'S Choice Hospice, Inc Hospice, Burbank, CA, CCN B31798
• Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126
• California Healthcare and Rehabilitation Center Nursing home, Van Nuys, CA, CCN 056149

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: kristine.vardanyan@1056347477966852.direct.elationemr.com
• Direct secure messaging: kristine.vardanyan@481179541897220.direct.elationemr.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Elegant Hospice Care

  • Community Based Hospice Care Agency
  • Woodland Hills, CA
  • NPI 1558973446

  W-2 Managing Employee

  CMS ownership

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.

• San Fernando Valley Medical Group Inc

  • Hospitalist Physician
  • Sherman Oaks, CA
  • NPI 1902188022

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Valley Village Health Clinic PC

  • Internal Medicine Physician
  • Valley Village, CA
  • NPI 1881330603
  Medicare reassignment NPD
• Onclick Healthcare Incorporated

  • Health Service Clinic/Center
  • Westlake Village, CA
  • NPI 1467074963
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ensure Hospice Inc

  • Community Based Hospice Care Agency
  • Palmdale, CA
  • NPI 1649884834
  Care Compare affiliation Name & address match
• Glendale Hospice Inc

  • Community Based Hospice Care Agency
  • North Hollywood, CA
  • NPI 1578170205
  Care Compare affiliation Name & address match
• Healing Halo Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Agoura Hills, CA
  • NPI 1891310470
  Care Compare affiliation Name & address match
• All Star Phoenix Inc.

  • Home Health Agency
  • Granada Hills, CA
  • NPI 1083260897
  Care Compare affiliation
• Elegant Hospice Care

  • Community Based Hospice Care Agency
  • Woodland Hills, CA
  • NPI 1558973446
  Care Compare affiliation
• Normandie Wilshire Retirement Hotel LLC

  • Skilled Nursing Facility
  • Van Nuys, CA
  • NPI 1932286671

  Nursing home

  Care Compare affiliation
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  Care Compare affiliation

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1972023778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 502",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031817",
            "telephone_number": "818-325-0200",
            "fax_number": "818-325-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 502",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031817",
            "telephone_number": "818-325-0200",
            "fax_number": "818-325-0210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14945 Ventura Blvd Ste 227",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914035976",
            "country_code": "US",
            "telephone_number": "747-207-0037",
            "fax_number": "323-372-3572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 North St",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012014109",
            "country_code": "US",
            "telephone_number": "413-447-2839",
            "fax_number": "413-447-2088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 Wilson Ter",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064007",
            "country_code": "US",
            "telephone_number": "818-599-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARDANYAN",
        "first_name": "KRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "272350",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "169373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Arthur Vanyek, D.C.
• Marcela Gisselle Vaquedano
• Patricia Vaquez
• Daniel Joel Varas
• Abraham Vardanyan
• Shawna Vardanyan, DACCHM, L.AC
• Vardit Zilberstein
• Dayanara M Vargas
• Sara Iveth Vargas
• Stephanie Vargas

• Internal Medicine Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.