Heritage Clinic and the Community Assistance Program for Seniors
NPI 1306899091ActiveOrganization· Psychologist, Clinical· Pasadena, CA
Psychologist, Clinical in Pasadena, California, registered in NPPES in May 2006. The authorized official on file is Vatche Kelartinian, MBA, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306899091 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2006 |
| Last updated in NPPES | Jul 22, 2024 |
| Certified by provider | Jul 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2255549 | CA |
| Case Manager/Care Coordinator | 171M00000X | — | — |
| Supports Brokerage | 251X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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