DR. BRUCE BEHROOZ BAGHERI (NPI# 1053421123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053421123 |
| Entity Type | Individual |
| Full Name | DR. BRUCE BEHROOZ BAGHERI |
| Credential | MD |
| Practice Address |
1560 E Chevy Chase Dr 445 Glendale CA 91206-4197 |
| Practice Telephone | 8182473938 |
| Practice Fax Number | 8182477249 |
| Mailing Telephone | 8182473938 |
| Mailing Fax Number | 8182477249 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | G70830 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G70830 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G708300 | 05 |
| Street Address |
1560 E CHEVY CHASE DR 445 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891793089 | Levon Allen Ter-bagdasarian | Nurse Practitioner | 1560 E Chevy Chase Dr, Suite 130, Glendale, CA 91206-4197 | 2005-07-12 |
| 1447767256 | Roya B Zainali | Nurse Practitioner | 1560 E Chevy Chase Dr, Glendale, CA 91206-4197 | 2018-01-02 |
| 1316327182 | Adventist Health Physicians Network | Surgery | 1560 E Chevy Chase Dr, #430, Glendale, CA 91206-4197 | 2015-06-05 |
| 1376922617 | Lovingly Quitania Park, Ph.d. | Clinical Neuropsychologist | 1560 E Chevy Chase Dr, Glendale, CA 91206-4197 | 2015-05-19 |
| 1083976294 | Adventist Health Physicians Network | Internal Medicine | 1560 E Chevy Chase Dr, Suite#245, Glendale, CA 91206-4197 | 2012-06-13 |
| 1104182856 | Esther Yoon Md, Inc | Family Medicine | 1560 E Chevy Chase Dr, #355, Glendale, CA 91206-4197 | 2012-04-06 |
| 1962701227 | Dmitriy Gen | Family Medicine | 1560 E Chevy Chase Dr, Glendale, CA 91206-4197 | 2011-03-24 |
| 1134430606 | Ata Mazaheri Md Inc. | Surgery | 1560 E Chevy Chase Dr, Suite #450, Glendale, CA 91206-4197 | 2010-06-29 |
| 1801113824 | Star Urology Incorporated | Urology | 1560 E Chevy Chase Dr, 325, Glendale, CA 91206-4197 | 2010-04-29 |
| 1306161583 | Golden State Behavioral Medical Group, Inc. | Psychiatry & Neurology | 1560 E Chevy Chase Dr, Suite 130, Glendale, CA 91206-4197 | 2010-03-31 |
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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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962967059 | Adventist Health Physicians Network | Internal Medicine | 1808 Verdugo Blvd Ste 414, Glendale, CA 91208-1474 | 2019-02-04 |
| 1972030427 | Advanced Medical & Surgical Ventures, Inc. | Internal Medicine | 217 S Glendale Ave, Glendale, CA 91205-1713 | 2017-05-15 |
| 1326438276 | Healthfinity, Pllc | Internal Medicine | 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 | 2015-01-30 |
| 1336411503 | Santo Salvatore Polito | Internal Medicine | 3255 Beaudry Ter, Glendale, CA 91208-1700 | 2012-02-03 |
| 1457504029 | Daniel Aram Daneshvar | Internal Medicine | 1510 S Central Ave Ste 150, Glendale, CA 91204-2541 | 2008-10-28 |
| 1760678049 | Jigar Anilkumar Patel | Internal Medicine | 18700 N 64th Dr Ste 101, Glendale, AZ 85308-7110 | 2007-09-19 |
| 1003009861 | Moustafa Banna | Internal Medicine | 5859 W. Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2007-08-23 |
| 1629270731 | Dipak Jana | Internal Medicine | 5422 W Thunderbird Rd Ste 8, Glendale, AZ 85306-4717 | 2007-06-01 |
| 1316156797 | Hossein Dehghani | Internal Medicine | 1560 E Chevy Chase Dr Ste 445, Glendale, CA 91206-4154 | 2007-05-22 |
| 1265644140 | Anthony B Alvaro | Internal Medicine | 1134 Orange Grove Ave, Glendale, CA 91205-1334 | 2007-05-04 |
| Find all providers in GLENDALE | ||||
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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.