GLENDALE PATHOLOGY ASSOCIATES MEDICAL GROUP OF GLENDALE (NPI# 1053305797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053305797 |
| Entity Type | Organization |
| Organization Name | GLENDALE PATHOLOGY ASSOCIATES MEDICAL GROUP OF GLENDALE |
| Practice Address |
1509 Wilson Ter Glendale CA 91206-4007 |
| Mailing Address |
5700 Southwyck Blvd Toledo OH 43614-1509 |
| Practice Telephone | 8184098000 |
| Practice Fax Number | 3232655086 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | DARIUSH SAHMEDINI (PRESIDENT) |
| Authorized Official Telephone | 8184098000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
CA | Allopathic & Osteopathic Physicians |
| Street Address |
1509 WILSON TER |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308090 | Larry Ereshefsky | Pharmacist | 1509 Wilson Ter, Wing 55 Main Floor, Glendale, CA 91206-4007 | 2005-07-05 |
| 1235737867 | Linda Lee | Physician Assistant | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-15 |
| 1669079281 | Daniel Trabulus | Marriage & Family Therapist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-06 |
| 1437766938 | Lena Linda Mazmanyan | Pharmacist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-29 |
| 1639784515 | Peter Kwaku Boateng | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-09 |
| 1811500945 | Nathaniel Jordan Khoe | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-28 |
| 1720691413 | Miguel A Santiago Cruz | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-24 |
| 1386256188 | Ronda Armatrading | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-21 |
| 1396356465 | Joanne Inawat Lopez | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-12 |
| 1093324949 | Tigran Tiraturyan Md Inc | Internal Medicine | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730411257 | Vonny Tunru-dinh | Pathology | 1630 Calle Vaquero, Apt#113, Glendale, CA 91206-1556 | 2010-02-09 |
| 1740278886 | Cyenthia Louise Koehler | Pathology | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2005-10-12 |
| 1265426928 | Citrus Pathology Medical Group | Pathology | 1420 S Central Ave, Dept of Pathology, Glendale, CA 91204-2508 | 2005-09-08 |
| 1508850421 | Chandnish K Ahluwalia | Pathology | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2005-09-07 |
| 1144877952 | Best Pacific Md Group Inc | Pathology | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2019-08-26 |
| 1366880692 | Kristine Astvatsaturyan | Pathology | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2013-06-09 |
| 1689980914 | Stephan Grigorian Md Inc | Pathology | 800 S Central Ave, Suite 208, Glendale, CA 91204-4370 | 2010-08-24 |
| 1821129057 | Stephan Robert Grigorian | Pathology | 800 S Central Ave, Suite #208, Glendale, CA 91204-4370 | 2007-03-08 |
| 1104986629 | Shulan Tian | Pathology | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2006-12-12 |
| 1417925330 | Gregory G Coons | Pathology | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2006-03-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.