DR. MICHAEL NOVAK (NPI# 1063400703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063400703 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL NOVAK |
| Credential | M.D. |
| Practice Address |
633 N Central Ave Suite 305 Glendale CA 91203-1801 |
| Practice Telephone | 8182447281 |
| Practice Fax Number | 8182445912 |
| Mailing Telephone | 8182447281 |
| Mailing Fax Number | 8182445912 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2011-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G8405 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000G84050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578688693 | Michael A Novak | Chiropractor | 204 Munson St, Granville, OH 43023-1284 | 2007-03-20 |
| 1043345994 | Michael Walter Novak | Physician Assistant | 31660 Highway 3, Weaverville, CA 96093-1879 | 2007-02-22 |
| 1396894085 | Michael Edward Novak | Chiropractor | 3701 Highway 13 W, Burnsville, MN 55337-1721 | 2007-01-10 |
| 1346302973 | Michael A. Novak | Dentist | 101 S Garfield Ave, Hinsdale, IL 60521-4229 | 2006-12-13 |
| 1972501179 | Michael R Novak | Family Medicine | 1100 Trancas St Ste 250, Napa, CA 94558-2909 | 2005-07-12 |
| 1265437867 | Michael A Novak | Ophthalmology | 3401 Enterprise Pkwy, Suite 300, Beachwood, OH 44122-7344 | 2005-06-20 |
| 1912440769 | Michael James Novak | Occupational Therapist | 1901 W Harrison St, Chicago, IL 60612-3714 | 2016-11-28 |
| 1306026893 | Michael John Novak | Dentist | 800 Rose St, D104, Lexington, KY 40536-0297 | 2007-11-13 |
| 1356450290 | Michael Edward Novak | Urology | 4070 Lake Dr Se, Grand Rapids, MI 49546-8294 | 2006-08-30 |
| 1134238694 | Michael A Novak | Otolaryngology | 611 W Park St, Sc2, Urbana, IL 61801-2529 | 2006-08-29 |
| Street Address |
633 N CENTRAL AVE SUITE 305 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249539 | Michael Tahery | Specialist | 633 N Central Ave, Suite 309, Glendale, CA 91203-1801 | 2005-07-19 |
| 1881008605 | Clarisse Atakhanian Dds Inc | Dentist | 633 N Central Ave, 205, Glendale, CA 91203-1801 | 2014-06-19 |
| 1356761266 | Wan Fong Lau | Nurse Practitioner | 633 N Central Ave, #105, Glendale, CA 91203-1801 | 2014-04-17 |
| 1598181760 | James Richard Trinity | Dentist | 633 N Central Ave, Ste208, Glendale, CA 91203-1801 | 2014-03-12 |
| 1346417276 | Thomas T. Su | Dermatology | 633 N Central Ave, Suite 305, Glendale, CA 91203-1801 | 2008-05-09 |
| 1366610008 | Matt Michaels, M.s. | Audiologist | 633 N Central Ave, Suite 201, Glendale, CA 91203-1801 | 2008-02-15 |
| 1992986012 | Armineh Abedian | Pharmacy Technician | 633 N Central Ave, Rileys Pharmacy #100, Glendale, CA 91203 | 2007-11-16 |
| 1154528081 | James R. Trinity, Dds | Dentist | 633 N Central Ave, Suite 208, Glendale, CA 91203-1801 | 2007-07-03 |
| 1265651046 | Thomas Michael Higgins | Audiologist | 633 N Central Ave, Suite 106, Glendale, CA 91203-1809 | 2007-04-24 |
| 1801917547 | Carissa Bennett, Aud, Inc | Audiologist | 633 N Central Ave, Suite #201, Glendale, CA 91203-1801 | 2007-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115044 | Family & Friends Home Health Care Inc | Home Health | 417 W Arden St Suite 106a, Glendale, CA 91203 | 2019-03-27 |
| 1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
| 1609381730 | Envoy Hospice Care Inc | Hospice Care, Community Based | 5002 N Central Ave Ste 510, Glendale, CA 91203 | 2017-12-12 |
| 1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
| 1588190664 | Vanessa Guzman | Physician Assistant | 600 N. Central Ave, 322, Glendale, CA 91203 | 2017-05-10 |
| 1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
| 1477090934 | Blue Med-ride Medical Transportation | Non-emergency Medical Transport (VAN) | 121 W Lexington Dr # L200, Glendale, CA 91203 | 2017-01-23 |
| 1427593557 | Ofelia Oundjian | Counselor | 237 N Central Ave., Glendale, CA 91203 | 2016-12-28 |
| 1316396823 | Shaunak Jaiprakash Intwala | Pharmacist | 330 N Brand Blvd Ste 155, Glendale, CA 91203 | 2016-06-06 |
| 1295117315 | Luis Ernesto Garcia Artiga | Licensed Vocational Nurse | 500 N Central Ave Suite 250, Glendale, CA 91203 | 2015-06-25 |
| Find all providers in zip 91203 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700971611 | Jo-anne Bustamante | Dermatology | 1818 Verdugo Blvd Ste 304, Glendale, CA 91208-1444 | 2006-10-04 |
| 1831152115 | Ted Brezel | Dermatology | 7959 Myrtle Ave, Glendale, NY 11385-7451 | 2006-04-08 |
| 1578727947 | All Dermatology, Inc. | Dermatology | 6320a W Union Hills Dr, Suite 210, Glendale, AZ 85308-7177 | 2008-07-15 |
| 1093910192 | Ted Brezel Md | Dermatology | 7959 Myrtle Ave, Glendale, NY 11385-7451 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175006 | Lms Medical Services | Dermatology | 1118 N Mccadden Pl, Los Angeles, CA 90038-1213 | 2020-08-17 |
| 1932687241 | Silhouette Medical Group | Dermatology | 101 E Vineyard Ave Ste 107, Livermore, CA 94550-6877 | 2018-07-31 |
| 1780188482 | California Dermatology Physicians | Dermatology | 1902 Fullerton Ave # 102, Corona, CA 92881-3112 | 2018-03-19 |
| 1942709738 | Azadeh Shirazi Md Inc | Dermatology | 7301 Girard Ave Ste 202, La Jolla, CA 92037-5151 | 2018-02-07 |
| 1205342920 | Solano Dermatology Associates Inc | Dermatology | 1700 2nd St Ste 220, Napa, CA 94559-2455 | 2017-12-18 |
| 1831603901 | Laser Medspa, Inc. | Dermatology | 73655 El Paseo Ste N, Palm Desert, CA 92260-4304 | 2017-11-27 |
| 1326427204 | Jennifer Herrmann Md Inc | Dermatology | 421 N Rodeo Dr Ste 7, Beverly Hills, CA 90210-4514 | 2015-05-25 |
| 1235540196 | Microsurgery Goup | Dermatology | 21039 S Figueroa Ave Suite 201, Carson, CA 90745-7042 | 2014-05-14 |
| 1811261183 | Robert Ray Nettles | Dermatology | 8500 Wilshire Blvd Ste 630, Beverly Hills, CA 90211-3139 | 2012-03-02 |
| 1164748737 | Jane Chung | Dermatology | 895 E Fremont Ave Ste 201, Sunnyvale, CA 94087-2973 | 2010-04-08 |
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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.