DR. MAXIM MORADIAN (NPI# 1497924864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497924864 |
| Entity Type | Individual |
| Full Name | DR. MAXIM MORADIAN |
| Other Name | DR. MAX MORADIAN |
| Credential | M.D. |
| Practice Address |
1500 S Central Ave Ste 101 Glendale CA 91204-2563 |
| Mailing Address |
2627 E Washington Blvd Pasadena CA 91107-1412 |
| Practice Telephone | 8183386860 |
| Mailing Telephone | 6267972002 |
| Mailing Fax Number | 6267980567 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | MD442485 | PA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | MD202793 | LA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A118692 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1006289 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2627 E Washington Blvd, Pasadena, CA 911071412 | 6267972002 | 6267980567 |
| 51 N 5th Ave Ste 301, Arcadia, CA 910063712 | 8183386860 |
| Street Address |
1500 S CENTRAL AVE STE 101 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093001851 | Brian Curtin | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2011-06-21 |
| 1922278381 | Glendale Pain Medicine Associates Inc | Pain Medicine | 710 S Central Ave Ste 340, Glendale, CA 91204-4647 | 2008-03-01 |
| 1740889021 | Midwest Interventional Pain and Diagnostics | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2020-10-19 |
| 1033749023 | Rum LLC | Pain Medicine | 20325 N 51st Ave Ste 102, Glendale, AZ 85308-5665 | 2020-01-19 |
| 1508338765 | Ghomri Health Care Inc | Pain Medicine | 1100 E Broadway Ste 301, Glendale, CA 91205-1380 | 2018-12-27 |
| 1568849990 | Brandon Ian Roth | Pain Medicine | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2015-05-06 |
| 1104069145 | Spinecare of Phoenix LLC | Pain Medicine | 16222 N 59th Ave, Ste A-100, Glendale, AZ 85306-1701 | 2009-04-07 |
| 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 |
| 1184746380 | Christopher K Kaypekian | Pain Medicine | 1500 S Central Ave, Suite 126, Glendale, CA 91204-2530 | 2007-04-06 |
| 1619950375 | Steven J. Donatello | Pain Medicine | 575 W River Woods Pkwy, #205, Glendale, WI 53212-1003 | 2005-11-26 |
| 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.