GLENDALE RETINA ASSOCIATES MEDICAL GROUP INC. (NPI# 1609989425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609989425 |
| Entity Type | Organization |
| Organization Name | GLENDALE RETINA ASSOCIATES MEDICAL GROUP INC. |
| Practice Address |
1025 N Brand Blvd Suite 200 Glendale CA 91202-2950 |
| Practice Telephone | 8182302140 |
| Practice Fax Number | 8182302148 |
| Mailing Telephone | 8182302140 |
| Mailing Fax Number | 8182302148 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | SANJAY LOGANI (PRESIDENT) |
| Authorized Official Telephone | 8188866700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0104990 | 05 |
| Street Address |
1025 N BRAND BLVD SUITE 200 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1295992725 | Preferred Ipa of California, A Professional Medical Corporation | General Practice | 1025 N Brand Blvd, Suite 100, Glendale, CA 91202-2950 | 2008-05-21 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780199034 | Hratch D Kourouyan Md Inc | Ophthalmology | 1540 W Glenoaks Blvd Ste 101, Glendale, CA 91201-3153 | 2017-12-08 |
| 1518480615 | Retina Institute of Ca | Ophthalmology | 435 Arden Ave # 430-435, Glendale, CA 91203-1130 | 2017-07-20 |
| 1609279165 | Anew Vision Eye Specialists, Pllc | Ophthalmology | 20325 N 51st Ave Ste 130, Glendale, AZ 85308-5677 | 2014-09-29 |
| 1447696539 | Neda Esmaili Md Sc | Ophthalmology | 377 West Riverwoods Parkway, Suite 115, Glendale, WI 53212 | 2013-05-15 |
| 1497084958 | Elda Aghaian, Md Inc | Ophthalmology | 1560 E Chevy Chase Dr Ste 220, Glendale, CA 91206-4140 | 2009-12-12 |
| 1023287489 | Elsa Aghaian | Ophthalmology | 607 N. Central Ave., Suite 204, Glendale, CA 91203-1808 | 2008-02-29 |
| 1013105048 | Eye Care First, A Medical Group,inc. | Ophthalmology | 610 N Central Ave Ste 103, Glendale, CA 91203-1419 | 2007-10-03 |
| 1134315757 | Samuel A Mcconkey IIi Md PC | Ophthalmology | 5830 W Thunderbird Rd, Suite B5, Glendale, AZ 85306-4654 | 2007-09-18 |
| 1306996541 | Valley Retina Surgeons LLC | Ophthalmology | 20118 N 67th Ave, Suite 300-240, Glendale, AZ 85308-4621 | 2007-01-11 |
| 1598849846 | Sahag Aram Baghdassarian | Ophthalmology | 1310 S Central Ave, Glendale, CA 91204-2506 | 2006-10-24 |
| 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.