MRS. KATHARINE LEE PARDAVE (NPI# 1265780399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265780399 |
| Entity Type | Individual |
| Full Name | MRS. KATHARINE LEE PARDAVE |
| Other Name | MISS KATHARINE ROSEMARY LEE |
| Credential | N.P. |
| Practice Address |
1530 E Chevy Chase Dr Suite 207 Glendale CA 91206-4163 |
| Mailing Address |
1016 E Mountain St Glendale CA 91207-1814 |
| Practice Telephone | 8185457418 |
| Practice Fax Number | 8188440288 |
| Mailing Telephone | 8185450785 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
447387 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1530 E CHEVY CHASE DR SUITE 207 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952343808 | Philip R Shupe | Podiatrist | 1530 E Chevy Chase Dr, Suite 107, Glendale, CA 91206-4163 | 2006-06-12 |
| 1750641080 | Raul Arturo Pardave, Md, A Medical Corporation | Non-Pharmacy Dispensing Site | 1530 E Chevy Chase Dr, Suite 207, Glendale, CA 91206-4163 | 2012-05-21 |
| 1376817429 | Kent Candelora, Phd, A Psychological Corporation | Psychologist | 1530 E Chevy Chase Dr, Suite 103, Glendale, CA 91206-4139 | 2012-03-06 |
| 1104118389 | Jivan Melikian M.d. Inc | Internal Medicine | 1530 E Chevy Chase Dr, Suite 206, Glendale, CA 91206-4163 | 2011-05-06 |
| 1083914162 | Calzadilla Psychological Inc | Psychologist | 1530 E Chevy Chase Dr, Suite 204, Glendale, CA 91206-4163 | 2010-10-23 |
| 1386962058 | Muradian Chiropractic Care Inc | Chiropractor | 1530 E Chevy Chase Dr, # 105, Glendale, CA 91206-4163 | 2010-05-05 |
| 1427234558 | Raul Arturo Pardave Md A Medical Corporation | Family Medicine | 1530 E Chevy Chase Dr, Suite 207, Glendale, CA 91206-4163 | 2008-01-18 |
| 1972792778 | John G Olea, Md Apc | Anesthesiology | 1530 E Chevy Chase Dr, Suite 205a, Glendale, CA 91206-4163 | 2007-10-17 |
| 1679785695 | Christopher J. Charbonnet, M.d., A Professional Corporation | Pain Medicine | 1530 E Chevy Chase Dr, Ste 204, Glendale, CA 91206-4163 | 2007-05-03 |
| 1609091859 | Douglas Christian Nies | Clinical Neuropsychologist | 1530 E Chevy Chase Dr, Suite 209, Glendale, CA 91206-4163 | 2007-04-14 |
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| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
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| 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 |
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| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
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| 1013471309 | Anthony James Shaw | Nurse Practitioner | 7190 W Fleetwood Ln, Glendale, AZ 85303-7606 | 2019-01-30 |
| 1295216190 | Malar Kuppan | Nurse Practitioner | 12610 N 58th Ave, Glendale, AZ 85304-1891 | 2018-08-28 |
| 1033638168 | Lauralie Johnson | Nurse Practitioner | 710 S Central Ave Ste 100, Glendale, CA 91204-4613 | 2017-09-09 |
| 1093111387 | James Simmons | Nurse Practitioner | 419 Roads End St, Glendale, CA 91205-3331 | 2014-11-13 |
| 1265861397 | Ronnell Regidor | Nurse Practitioner | 435 Arden Ave Ste 310, Glendale, CA 91203-4014 | 2013-11-08 |
| 1750844759 | Lesly Ghiglino Duetsch | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2019-04-08 |
| 1750866422 | Elizabeth Terzyan | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2018-09-28 |
| 1639653793 | Virginia Zambroski | Nurse Practitioner | 655 N Central Ave, Glendale, CA 91203-1422 | 2018-09-24 |
| 1083193478 | Katrin Minasian | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2018-08-07 |
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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.