CLINICAL INTERVENTION GROUP, LLC (NPI# 1063695690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063695690 |
| Entity Type | Organization |
| Organization Name | CLINICAL INTERVENTION GROUP, LLC |
| Practice Address |
801 N Brand Blvd Suite 630 Glendale CA 91203-1237 |
| Practice Telephone | 8886746060 |
| Mailing Telephone | 8886746060 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |
| Authorized Official Name | DR. ESAN FORDE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8886746060 |
| Authorized Official Credential | PHARM.D, CGP, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
Pharmacy Service Providers |
| Street Address |
801 N BRAND BLVD SUITE 630 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-1237 |
| 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 | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942623293 | Dennis Haag | Pharmacist | 7450 W Glendale Ave, Glendale, AZ 85303-3000 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277739 | Melanie Laforteza | Pharmacist | 19 Horizon Ct, American Canyon, CA 94503-3149 | 2020-02-13 |
| 1295236909 | Anna Arabyan | Pharmacist | 3318 Durham Ct, Burbank, CA 91504-1600 | 2018-02-27 |
| 1851805576 | Jeffrey Scott Herr | Pharmacist | 1214 N Market Blvd Ste C, Sacramento, CA 95834-2931 | 2017-11-17 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| 1457724932 | Kaveh Barjesteh | Pharmacist | 255 Village Run E, Encinitas, CA 92024-3045 | 2015-11-05 |
| 1225410319 | Ibrahim Naser | Pharmacist | 19341 Vista Grande Way, Porter Ranch, CA 91326-1233 | 2015-06-24 |
| 1568866473 | Davis Thanh Tran | Pharmacist | 5713 N Pershing Ave Ste A3, Stockton, CA 95207-4942 | 2014-10-21 |
| 1215338579 | Robert Siskin | Pharmacist | 79120 Fox Run, La Quinta, CA 92253-4531 | 2014-09-05 |
| 1104268697 | Linda Lee Bibbs | Pharmacist | 14181 Barlupi Cir, Sonora, CA 95370-8630 | 2013-07-24 |
| 1841631256 | Pharmacist Integrative Healthcare, Inc. | Pharmacist | 21704 Devonshire St # 330, Chatsworth, CA 91311-2903 | 2013-07-13 |
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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.