Avanta Medical Group
NPI 1770429102ActiveOrganization· General Practice· Van Nuys, CA
General Practice in Van Nuys, California, registered in NPPES in April 2026. The authorized official on file is Vyacheslav Davtian, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770429102 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2026 |
| Last updated in NPPES | Apr 27, 2026 |
| Certified by provider | Apr 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Registered Nurse, Infusion Therapy | 163WI0500X | — | — |
| Registered Nurse, Pain Management | 163WP0000X | — | — |
| Podiatrist | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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