GLENDALE FOOT & ANKLE PODIATRY CENTER, INC.


Address: 1030 S Glendale Ave Ste 403, Glendale, CA 91205-2866
Phone: 8182424426

GLENDALE FOOT & ANKLE PODIATRY CENTER, INC. (NPI# 1710173489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710173489
Entity Type Organization
Organization Name GLENDALE FOOT & ANKLE PODIATRY CENTER, INC.
Practice Address 1030 S Glendale Ave Ste 403
Glendale
CA 91205-2866
Mailing Address 110 S Adams St
Glendale
CA 91205-1312
Practice Telephone 8182424426
Practice Fax Number 8182424409
Mailing Telephone 8182424426
Mailing Fax Number 8182424409
Enumeration Date 2007-09-17
Last Update Date 2018-12-11
Authorized Official Name DR. HERMOZ B AYVAZIAN (OWNER)
Authorized Official Telephone 8182424426
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
E3761 CA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CLIA 05D0856782 01
CA BLUE SHIELD ZZZ60226Z 01
CA 000E37610 05
CA RAILROAD MEDICARE 480027586 01

Office Location

Street Address 1030 S GLENDALE AVE STE 403
City GLENDALE
State CA
Zip Code 91205-2866

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1669967006 Happy Life Home Health Care Inc Home Health 225 East Broadway St, Suite 203, Glendale, CA 91205 2018-06-28
1841782356 Liana Hariri Case Manager/Care Coordinator 1540 E. Colorodo St., Glendale, CA 91205 2018-05-31
1992202469 Narek Garukyan Dpm Clinic/Center 815 E Colorado St Ste 210, Glendale, CA 91205 2018-04-10
1619496080 Elite Care Home Health Services Inc Home Health 225 E.broadway, Suite B114, Glendale, CA 91205 2017-09-16
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467072090 Foot & Ankle Specialists of Arizona Podiatrist 5681 W Beverly Ln Ste 100a, Glendale, AZ 85306-9800 2020-04-23
1609366533 Podiatric Physicians of Arizona, Inc. Podiatrist 11851 N 51st Ave Ste D120, Glendale, AZ 85304-2839 2018-05-16
1790218550 Noubar Varderessian Podiatrist 1122 N Columbus Ave, Apt. 2, Glendale, CA 91202-3241 2017-04-09
1659721850 Samvel Keshishyan Podiatrist 1339 N Columbus Ave Unit 311, Glendale, CA 91202-3875 2016-06-17
1639583388 Jamila Butcher Podiatrist 5605 W Eugie Ave Ste 102, Glendale, AZ 85304-1273 2014-06-19
1710302450 New Age Foot and Ankle Podiatry PC Podiatrist 705 Ivy Street, Glendale, CA 91204 2014-03-04
1760564272 Hermoz B Ayvazian Podiatrist 110 S Adams St, Glendale, CA 91205-1312 2006-10-20
1467567883 Rajesh Praful Daulat Podiatrist 6677 W Thunderbird Rd Ste J171-172, Glendale, AZ 85306-3732 2006-08-19
1780606764 Allen Massihi Podiatrist 311 N Verdugo Rd, Glendale, CA 91206-3944 2006-07-25
1952343808 Philip R Shupe Podiatrist 1530 E Chevy Chase Dr, Suite 107, Glendale, CA 91206-4163 2006-06-12
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Competitor

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City GLENDALE
Zip Code 91205

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Dataset Information

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.

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