VATCHE B BARDAKJIAN (NPI# 1386774255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386774255 |
Entity Type | Individual |
Full Name | VATCHE B BARDAKJIAN |
Credential | MD |
Practice Address |
1500 S Central Ave Suite 126 Glendale CA 91204 |
Practice Telephone | 8182474894 |
Practice Fax Number | 8182474163 |
Mailing Telephone | 8182474894 |
Mailing Fax Number | 8182474163 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A45955 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | OOA459551 | 05 |
Street Address |
1500 S CENTRAL AVE SUITE 126 |
City | GLENDALE |
State | CA |
Zip Code | 91204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922088459 | Serena A Tu | Pediatrics | 1500 S Central Ave, Suite 100, Glendale, CA 91204-2530 | 2006-01-19 |
1427509033 | Interventional Spine Care & Orthopedic Regenerative Experts | Physical Medicine & Rehabilitation | 1500 S Central Ave, Suite 101, Glendale, CA 91204-2530 | 2016-10-18 |
1215298286 | Western Podmed Clinic Inc | Podiatrist | 1500 S Central Ave, Suite 323, Glendale, CA 91204-3858 | 2012-06-06 |
1811261266 | Anahit Hovhannisyan | Nutritionist | 1500 S Central Ave, 321, Glendale, CA 91204-2530 | 2012-03-02 |
1801185095 | Danny Zaghi | Internal Medicine | 1500 S Central Ave, Ste 200, Glendale, CA 91204-2530 | 2011-03-29 |
1831406768 | Janet Aleksanyan | Registered Nurse | 1500 S Central Ave, Suite 322, Glendale, CA 91204-2530 | 2010-09-14 |
1376857276 | Claudia Dominguez | Dietitian, Registered | 1500 S Central Ave, Suite 221, Glendale, CA 91204-2530 | 2010-08-03 |
1386958353 | Satindar Dua | Dietitian, Registered | 1500 S Central Ave, Suite 221, Glendale, CA 91204-2530 | 2010-08-02 |
1538488333 | Melina Karabetyan Sukyas | Physician Assistant | 1500 S Central Ave, Suite 300, Glendale, CA 91204-2530 | 2010-05-19 |
1457675324 | Jon I. Sattler, M.d., Inc. | Plastic Surgery | 1500 S Central Ave, Suite 126, Glendale, CA 91204-2530 | 2010-03-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
Find all providers in zip 91204 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750618237 | Peter H Ashjian Md A Medical Corp | Surgery | 240 S Jackson St Ste 109, Glendale, CA 91205-1594 | 2009-11-04 |
1023250339 | Paul D Angelchik Md PC | Surgery | 18275 N 59th Ave, Suit 170 Bldg L, Glendale, AZ 85308-1260 | 2009-04-01 |
1255519260 | Bradley K Becker, PC | Surgery | 18555 N 79th Ave Ste B102, Glendale, AZ 85308-8372 | 2008-02-01 |
1598852006 | Paul Angelchik | Surgery | 18275 N 59th Ave, Suite 170, Bldg L, Glendale, AZ 85308-1260 | 2006-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
1558907857 | California Surgical and Anesthesia Services, Inc | Surgery | 3500 S Bristol St Ste 203, Santa Ana, CA 92704-7306 | 2019-11-21 |
1710533864 | Elite Transformations, A Professional Medical Corporation | Surgery | 1795 El Camino Real Ste 200, Palo Alto, CA 94306-1165 | 2019-08-14 |
1326503632 | Andre P. Marshall, Md Inc | Surgery | 32456 Crown Valley Pkwy Apt 105, Dana Point, CA 92629-3312 | 2019-01-31 |
1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
1497249817 | Alexander Villicana Md LLC | Surgery | 624 W Duarte Rd Ste 201, Arcadia, CA 91007-9261 | 2018-06-19 |
1316431273 | Justin E. West, Md Inc. | Surgery | 230 S Main St Ste 210, Orange, CA 92868-3851 | 2018-06-14 |
1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
1285082859 | Daniel Suissa | Surgery | 9201 W Sunset Blvd Ste 708, West Hollywood, CA 90069-3708 | 2016-05-24 |
1780030478 | Eric Yu Kit Li | Surgery | 10430 S De Anza Blvd Ste 170, Cupertino, CA 95014-3000 | 2016-05-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.