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VEGA MEDICAL GROUP INC
NPI 1609675404
Clinic/Center - Multi-Specialty in Glendale, CA

Active since March 12, 2025
1101 N PACIFIC AVE STE 204, GLENDALE, CA 91202(747) 240-6912(747) 240-6913 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vega Medical Group Inc NPPES

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

VEGA MEDICAL GROUP INC (NPI 1609675404) is a healthcare organization registered as a multi-specialty in Glendale, California and active in the NPI registry since March 2025. The organization lists Vighen Mkrtoumian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609675404
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVEGA MEDICAL GROUP INC
Location Address1101 N PACIFIC AVE STE 204Glendale, CA 91202-4316
Mailing Address1101 N Pacific Ave Ste 204Glendale, CA 91202-4316 · (747) 240-6912 · Fax (747) 240-6913
Phone(747) 240-6912
Fax(747) 240-6913
Organization SubpartNo
Authorized OfficialVighen MkrtoumianCeo · (747) 240-6912
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1609675404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1101 N PACIFIC AVE STE 204, Glendale, CA 91202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vega Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vega Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kenneth Susman, DPM
Podiatry
NPI 1891720645
5901 W OLYMPIC BLVD SUITE 509
Los Angeles, CA 90036
(323) 938-3338
✔ PECOS✔ Accepts Medicare9.0 mi
Gurmander Kohli, M.D.
General Practice
NPI 1225066962
11370 ANDERSON ST SUITE 2100
Loma Linda, CA 92354
(909) 558-2822
✔ PECOS✔ Accepts Medicare58 mi

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

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 Vega Medical Group Inc's NPI number?

The NPI number for Vega Medical Group Inc is 1609675404. It was assigned to this organization in the NPPES registry on March 12, 2025.

Where is Vega Medical Group Inc located?

Vega Medical Group Inc is located at 1101 N Pacific Ave Ste 204, Glendale, CA 91202. The listed phone number is (747) 240-6912.

What is Vega Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Vega Medical Group Inc enrolled in Medicare?

Yes. Vega Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vega Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vega Medical Group Inc, in General Practice and Podiatry. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vega Medical Group Inc was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.