SAMUEL A MALAYAN MEDICAL CORP (NPI# 1407157878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407157878 |
| Entity Type | Organization |
| Organization Name | SAMUEL A MALAYAN MEDICAL CORP |
| Practice Address |
610 N Central Ave Suite 301 Glendale CA 91203-1403 |
| Practice Telephone | 8185500702 |
| Practice Fax Number | 8185500705 |
| Mailing Telephone | 8185500702 |
| Mailing Fax Number | 8185500705 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2011-03-22 |
| Authorized Official Name | SOFYA BAKHTAMYAN (OFFICE MANAGER) |
| Authorized Official Telephone | 8185500702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | G61143 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
G61143 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE ID | G61143 | 01 |
| Street Address |
610 N CENTRAL AVE SUITE 301 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740203777 | Vahe Stephan Yacoubian | Specialist | 610 N Central Ave, Suite 105, Glendale, CA 91203-1403 | 2006-07-25 |
| 1659628907 | Charlene Medina | Counselor | 610 N Central Ave, Suite 106, Glendale, CA 91203-1403 | 2012-08-06 |
| 1750640736 | Medstar Physical Therapy. Inc. | Preferred Provider Organization | 610 N Central Ave, Suite 202, Glendale, CA 91203-1403 | 2012-05-10 |
| 1538479563 | Soo Gyung Kim | Acupuncturist | 610 N Central Ave, Suite 202, Glendale, CA 91203-1403 | 2010-10-08 |
| 1720314271 | California Care Corp | Health Maintenance Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2009-10-19 |
| 1205070463 | Robin Stacy Long | Chiropractor | 610 N Central Ave, Suite 108, Glendale, CA 91203-1403 | 2009-04-30 |
| 1871743278 | California Care Corp | Preferred Provider Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2008-09-23 |
| 1467609917 | California Care Corporation | Exclusive Provider Organization | 610 N Central Ave, Suite 106, Glendale, CA 91203-1403 | 2008-08-26 |
| 1306001979 | Rodrik Khosrovian | Chiropractor | 610 N Central Ave, Suite 108, Glendale, CA 91203-1403 | 2008-07-23 |
| 1316110885 | California Care Inc | Exclusive Provider Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2008-04-07 |
| Find all providers in the same location | ||||
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1437412905 | Adventist Health Physicians Network | Internal Medicine | 544 N Glendale Ave Ste B, Glendale, CA 91206-3311 | 2012-06-20 |
| 1790975886 | Eliana Y Berger | Internal Medicine | 1500 S Central Ave Ste 200, Glendale, CA 91204-3853 | 2007-07-26 |
| 1497829659 | Sura Sharqe Endocrinology, Inc | Internal Medicine | 6525 W. Sack Drive, #204, Glendale, AZ 85308 | 2006-11-20 |
| 1194827782 | Leon Kujmanian | Internal Medicine | 1146 N. Central Avenue, #522, Glendale, CA 91202 | 2006-09-02 |
| 1093736209 | Jordan A. Sennett | Internal Medicine | 6677 W Thunderbird Rd Ste E, Glendale, AZ 85306-3722 | 2006-07-22 |
| 1598720641 | Universal Primary Care | Internal Medicine | 801 South Chevy Chase Dr, #102, Glendale, CA 91205 | 2006-04-20 |
| 1346758653 | Arizona Endocrinology & Diabetes Clinic Inc | Internal Medicine | 18301 N 79th Ave Ste C136, Glendale, AZ 85308-8471 | 2018-01-21 |
| 1902148380 | Leonid Vydro | Internal Medicine | 6677 W Thunderbird Rd Ste E, Glendale, AZ 85306-3722 | 2013-03-22 |
| 1902075203 | Diabetes & Endocrinology Center, Inc. | Internal Medicine | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2008-02-21 |
| 1003005893 | Endocrinology, Diabetes, and Thyroid Center of Arizona Pllc | Internal Medicine | 20100 N 51st Ave, Suite F-635, Glendale, AZ 85308-5125 | 2007-10-17 |
| 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.