| Vista Critical Care Associates Inc | |
|
1511 W Glenoaks Blvd Glendale CA 91201-1912 | |
| (818) 637-2200 | |
| (818) 637-2250 |
| Full Name | Vista Critical Care Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1511 W Glenoaks Blvd, Glendale, California |
| Authorized Official Name and Position | Saeid Safaee (CEO) |
| Authorized Official Contact | 8183378870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Critical Care Associates Inc 1511 W Glenoaks Blvd Glendale CA 91201-1912 Ph: (818) 637-2200 | Vista Critical Care Associates Inc 1511 W Glenoaks Blvd Glendale CA 91201-1912 Ph: (818) 637-2200 |
| NPI Number | 1942971189 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 09/27/2021 |
| Medicare PECOS PAC ID | 8729479225 |
|---|---|
| Medicare Enrollment ID | O20211216001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942971189 | NPI | - | NPPES |
| Provider Name | Kenneth G Wys |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003929712 PECOS PAC ID: 6608760459 Enrollment ID: I20040211001193 |
| Provider Name | Raja S Mahidhara |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689771016 PECOS PAC ID: 1153328505 Enrollment ID: I20061027000487 |
| Provider Name | Zulfiqar Ahmed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750348090 PECOS PAC ID: 3577662113 Enrollment ID: I20070622000537 |
| Provider Name | Arin Aboulian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104038256 PECOS PAC ID: 1658432299 Enrollment ID: I20081202000084 |
| Provider Name | Saeid Safaee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437112604 PECOS PAC ID: 4789618927 Enrollment ID: I20081219000079 |
| Provider Name | Lusine Simonyants |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669685111 PECOS PAC ID: 4385702547 Enrollment ID: I20100817000385 |
| Provider Name | Ali Mehdizadeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114151719 PECOS PAC ID: 8224200589 Enrollment ID: I20111010000122 |
| Provider Name | Leo M Shum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609061191 PECOS PAC ID: 2668540642 Enrollment ID: I20120712000776 |
| Provider Name | Shant Shirvanian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215213566 PECOS PAC ID: 7113295775 Enrollment ID: I20170622002263 |
| Provider Name | Deon We-jin Lau |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295178002 PECOS PAC ID: 8729382296 Enrollment ID: I20180613002074 |
| Provider Name | Roxanne Manalac Favis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366977258 PECOS PAC ID: 3678976180 Enrollment ID: I20220602001305 |
| Provider Name | Movses Hayrabedian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801265046 PECOS PAC ID: 9133428014 Enrollment ID: I20220728000840 |
| Provider Name | Jora J Zaroukian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245764570 PECOS PAC ID: 0547531089 Enrollment ID: I20220929002288 |
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