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VARDUI ARUTYUNYAN-MD INC
NPI 1235577982
Clinic/Center - Primary Care in Glendale, CA

Active since June 04, 2013CLIA 05D1007639 · Waiver
1030 S GLENDALE AVE, 309, GLENDALE, CA 91205(818) 553-1020(818) 553-6651 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 7, 2023, Jul 14, 2023 (2 updates tracked since 2023).

About Vardui Arutyunyan-md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VARDUI ARUTYUNYAN-MD INC (NPI 1235577982) is a healthcare organization registered as a primary care in Glendale, California and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through December 23, 2026 and lists Vardui Arutyunyan, Owner, as its authorized official.

NPPES Registry Identity

NPI1235577982
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVARDUI ARUTYUNYAN-MD INC
Location Address1030 S GLENDALE AVE, 309Glendale, CA 91205-5612
Mailing Address1030 S Glendale Ave, 309Glendale, CA 91205-5612 · (818) 553-1020 · Fax (818) 553-6651
Phone(818) 553-1020
Fax(818) 553-6651
Organization SubpartNo
Authorized OfficialVardui ArutyunyanOwner · (818) 553-1020
Enumeration DateJune 4, 2013
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1235577982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A70072
1030 S GLENDALE AVE, Glendale, CA 91205
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vardui Arutyunyan-md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vardui Arutyunyan-MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vardui Arutyunyan, MD
Family Practice
NPI 1841235223
1030 S GLENDALE AVE #309
Glendale, CA 91205
(818) 553-1020
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1007639

Vardui Arutyunyan, MD Inc · Glendale, CA
Active · expires Dec 23, 2026
CLIA Number05D1007639
Laboratory TypePhysician Office
Certificate Effective DateDecember 24, 2024
Certificate Expiration DateDecember 23, 2026
Laboratory DirectorVardui Arutyunyan, MD
Laboratory Phone(818) 553-1020
Laboratory LocationVardui Arutyunyan, MD Inc1030 S Glendale Ave Ste 308, Glendale, CA 91205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vardui Arutyunyan-Md Inc's NPI number?

The NPI number for Vardui Arutyunyan-Md Inc is 1235577982. It was assigned to this organization in the NPPES registry on June 4, 2013.

Where is Vardui Arutyunyan-Md Inc located?

Vardui Arutyunyan-Md Inc is located at 1030 S Glendale Ave 309, Glendale, CA 91205. The listed phone number is (818) 553-1020.

What is Vardui Arutyunyan-Md Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Vardui Arutyunyan-Md Inc enrolled in Medicare?

Yes. Vardui Arutyunyan-Md Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vardui Arutyunyan-Md Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Vardui Arutyunyan-Md Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vardui Arutyunyan-Md Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1007639) is associated with this NPI, valid through December 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vardui Arutyunyan-Md Inc was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.