PREFERRED IPA OF CALIFORNIA, A PROFESSIONAL MEDICAL CORPORATION (NPI# 1295992725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295992725 |
| Entity Type | Organization |
| Organization Name | PREFERRED IPA OF CALIFORNIA, A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
1025 N Brand Blvd Suite 100 Glendale CA 91202-2950 |
| Practice Telephone | 8182650800 |
| Practice Fax Number | 8182650804 |
| Mailing Telephone | 8182650800 |
| Mailing Fax Number | 8182650804 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Authorized Official Name | DR. SHADAN GHAEMIAN (PRESIDENT) |
| Authorized Official Telephone | 8182650800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1025 N BRAND BLVD SUITE 100 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609989425 | Glendale Retina Associates Medical Group Inc. | Ophthalmology | 1025 N Brand Blvd, Suite 200, Glendale, CA 91202-2950 | 2006-08-16 |
| 1528317963 | Preferred Aco LLC | Case Management | 1025 N Brand Blvd, Suite 100, Glendale, CA 91202-2950 | 2012-08-30 |
| 1578790812 | Rachel Lynn Fine | Dentist | 1025 N Brand Blvd, Ste 210, Glendale, CA 91202-2950 | 2009-06-13 |
| 1346425121 | Marta A Recasens M D A Professional | Ophthalmology | 1025 N Brand Blvd, Suite 200, Glendale, CA 91202-2950 | 2007-12-29 |
| 1770709883 | Steven Brett Delawter Jr. | Dentist | 1025 N Brand Blvd, Suite 210, Glendale, CA 91202-3639 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
| 1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
| 1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
| 1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
| 1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
| 1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
| 1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
| 1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
| 1669624219 | Marine Demirjian | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202 | 2008-10-15 |
| 1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
| Find all providers in zip 91202 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942682596 | Prime Family Clinic Inc | General Practice | 1110 S Glendale Ave, E, Glendale, CA 91205-5617 | 2015-06-19 |
| 1902164320 | Lotus Medical Group | General Practice | 541 W Colorado St Ste 205, Glendale, CA 91204-3640 | 2012-04-24 |
| 1023390770 | Armen Nercessian Do Inc | General Practice | 1122 N Brand Blvd Ste 101, Glendale, CA 91202-2571 | 2011-09-19 |
| 1609165992 | Leslie Moss Kalman | General Practice | 1015 Hillcroft Rd, Glendale, CA 91207-1541 | 2011-04-07 |
| 1184934648 | Luis A Perez Md Inc | General Practice | 1220 S Central Ave Ste 102, Glendale, CA 91204-3805 | 2010-10-18 |
| 1457676793 | Elizabeth Remedios Md Inc | General Practice | 423 W Colorado St, Glendale, CA 91204-1537 | 2010-03-30 |
| 1174855480 | Abdelgabar Mohamed Mohamdian | General Practice | 8528 N 43rd Dr, Glendale, AZ 85302-5302 | 2010-02-11 |
| 1578892808 | Alber Karamanoukian | General Practice | 800 S Central Ave., Glendale, CA 91204-2902 | 2009-12-16 |
| 1376871566 | Agababian Medical Clinic, Inc | General Practice | 800 S Central Ave Ste 301, Glendale, CA 91204-4388 | 2009-11-26 |
| 1174857791 | Triad Clinic Pllc | General Practice | 4902 W Ironwood Dr, Glendale, AZ 85302-2402 | 2009-09-29 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on PREFERRED IPA OF CALIFORNIA, A PROFESSIONAL MEDICAL CORPORATION.
| 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.