FRED JAVDAN (NPI# 1669575106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669575106 |
| Entity Type | Individual |
| Full Name | FRED JAVDAN |
| Other Name | FARID JAVEDANFAR |
| Credential | M.D. |
| Practice Address |
700 N Brand Blvd Ste 1400 Glendale CA 91203-4263 |
| Practice Telephone | 8188395200 |
| Practice Fax Number | 8188443887 |
| Mailing Telephone | 8188395200 |
| Mailing Fax Number | 8188443887 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A76858 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | A76858 | 01 |
| Street Address |
700 N BRAND BLVD STE 1400 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720456247 | Alia Alaweneh | Internal Medicine | 700 N Brand Blvd Ste 1400, Glendale, CA 91203-4263 | 2015-09-15 |
| 1194106617 | Yasser Shaweesh | Internal Medicine | 700 N Brand Blvd Ste 1400, Glendale, CA 91203-4263 | 2015-06-10 |
| 1396164414 | Kristofer Miguel Wills | Internal Medicine | 700 N Brand Blvd Ste 1400, Glendale, CA 91203 | 2014-04-16 |
| 1861811762 | Benson Kwee | Family Medicine | 700 N Brand Blvd Ste 1400, Glendale, CA 91203-4263 | 2014-04-08 |
| 1821433533 | Moses Ain Lee | Internal Medicine | 700 N Brand Blvd Ste 1400, Glendale, CA 91203-4263 | 2013-05-08 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1962017269 | One Primary Care Inc. | Internal Medicine | 800 S Central Ave Ste 212, Glendale, CA 91204-4388 | 2020-09-14 |
| 1831704063 | New Horizon Medical Center, Inc. | Internal Medicine | 1101 N Pacific Ave Ste 103, Glendale, CA 91202-4312 | 2020-09-14 |
| 1043848062 | Jennifer Huddleston, Physician Assistant PC | Internal Medicine | 1560 E Chevy Chase Dr Ste 200, Glendale, CA 91206-4140 | 2020-03-27 |
| 1679120463 | Eruman, Pllc | Internal Medicine | 18275 N 59th Ave Ste G138, Glendale, AZ 85308-1260 | 2019-08-26 |
| 1033672738 | First Step Medical LLC | Internal Medicine | 5620 W Thunderbird Rd Ste E5, Glendale, AZ 85306-4651 | 2019-04-09 |
| 1760901375 | Western Medical LLC | Internal Medicine | 21554 N 57th Ave, Glendale, AZ 85308 | 2017-09-14 |
| 1487187910 | Daniel Adam Davis | Internal Medicine | 11851 N 51st Ave Ste B110, Glendale, AZ 85304-2823 | 2017-04-11 |
| 1104212422 | Robert Allen | Internal Medicine | 1731 N Pacific Ave, Glendale, CA 91202-1108 | 2015-04-14 |
| 1790185403 | Us Housecalls, Inc. | Internal Medicine | 7881 81st St, 1st Floor, Glendale, NY 11385-7652 | 2014-08-29 |
| 1265842389 | Hani Rashid | Internal Medicine | 5681 W Beverly Ln Ste 100, Glendale, AZ 85306-9800 | 2014-04-28 |
| 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.