1. Home
  2. Directory
  3. California
  4. Reseda
  5. Clinic Center
  6. NPI Profile

MID VALLEY VASCULAR CENTER, INC
NPI 1790187169
Clinic/Center - Multi-Specialty in Reseda, CA

Active since September 17, 2014
7640 TAMPA AVE, SUITE 101A, RESEDA, CA 91335(818) 718-1600(818) 343-1612 Get Directions Write a Review

NPPES record last updated: November 5, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mid Valley Vascular Center, Inc NPPES

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

MID VALLEY VASCULAR CENTER, INC (NPI 1790187169) is a healthcare organization registered as a multi-specialty in Reseda, California and active in the NPI registry since September 2014. The organization lists Leo Polosajian, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1790187169
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMID VALLEY VASCULAR CENTER, INC
Location Address7640 TAMPA AVE, SUITE 101AReseda, CA 91335-1735
Mailing Address4930 Balboa Blvd, Suite 261278Encino, CA 91426-7001 · (818) 718-1600 · Fax (818) 343-1612
Phone(818) 718-1600
Fax(818) 343-1612
Organization SubpartNo
Authorized OfficialLeo PolosajianPresident/ceo · (818) 454-3638
Enumeration DateSeptember 17, 2014
Last NPPES UpdateNovember 5, 2014
✔ NPI 1790187169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
7640 TAMPA AVE, Reseda, CA 91335
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)

Mid Valley Vascular Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Mid Valley Vascular Center, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Leo Polosajian, M.D.
Cardiovascular Disease (Cardiology)
NPI 1174664783
7640 TAMPA AVE STE 101
Reseda, CA 91335
(818) 718-1600
✔ PECOS✔ Accepts MedicareSame address
Sam Kalioundji, MD
Cardiovascular Disease (Cardiology)
NPI 1619129426
18406 ROSCOE BLVD
Northridge, CA 91325
(818) 477-2337
✔ PECOS✔ Accepts Medicare1.3 mi
Catherine Garganera-Quinzon, MSN-FNP
Nurse Practitioner
NPI 1902253792
6544 VALJEAN AVE
Van Nuys, CA 91406
(818) 667-3648
✔ PECOS4.1 mi
Feliciano Serrano, M.D.
Nephrology
NPI 1649225558
7305 PACIFIC BLVD FL 2
Huntington Park, CA 90255
(323) 585-6900
✔ PECOS✔ Accepts Medicare25 mi
Robert Azizi, MD
Diagnostic Radiology
NPI 1316101298
8218 GARFIELD AVE
Bell Gardens, CA 90201
(833) 736-3988
✔ PECOS✔ Accepts Medicare28 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 Mid Valley Vascular Center, Inc's NPI number?

The NPI number for Mid Valley Vascular Center, Inc is 1790187169. It was assigned to this organization in the NPPES registry on September 17, 2014.

Where is Mid Valley Vascular Center, Inc located?

Mid Valley Vascular Center, Inc is located at 7640 Tampa Ave Suite 101A, Reseda, CA 91335. The listed phone number is (818) 718-1600.

What is Mid Valley Vascular Center, Inc's specialty?

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

Is Mid Valley Vascular Center, Inc enrolled in Medicare?

Yes. Mid Valley Vascular Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid Valley Vascular Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Mid Valley Vascular Center, Inc, in Cardiovascular Disease (Cardiology), Diagnostic Radiology, Nephrology and Nurse Practitioner. 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 at this address and 3 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 Mid Valley Vascular Center, Inc was last updated on November 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.