JOHN J. GUAGENTI, M.D. INC. (NPI# 1851589485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851589485 |
| Entity Type | Organization |
| Organization Name | JOHN J. GUAGENTI, M.D. INC. |
| Practice Address |
1510 S Central Ave Suite 470 Glendale CA 91204-2500 |
| Practice Telephone | 8182426357 |
| Practice Fax Number | 8182423628 |
| Mailing Telephone | 8182426357 |
| Mailing Fax Number | 8182423628 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2009-01-02 |
| Authorized Official Name | DR. JOHN J GUAGENTI (OWNER) |
| Authorized Official Telephone | 8182426357 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G32900 | CA | Other Service Providers |
| Street Address |
1510 S CENTRAL AVE SUITE 470 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020136 | Richard W Suda | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1510 S Central Ave, Suite 530, Glendale, CA 91204-2500 | 2005-08-10 |
| 1912381294 | Kyrillos Medical Group,inc | Specialist | 1510 S Central Ave, Suite 250, Glendale, CA 91204-2500 | 2015-07-16 |
| 1942699236 | Major Medical Management, Inc. | Clinic/Center | 1510 S Central Ave, Ste 120, Glendale, CA 91204-2500 | 2015-01-09 |
| 1124449384 | Mardi H. Mihranian | Specialist | 1510 S Central Ave, Suite 100, Glendale, CA 91204-2500 | 2013-12-13 |
| 1922429182 | Susan L. Chobanian, M.d. | Specialist | 1510 S Central Ave, Suite 100, Glendale, CA 91204-2500 | 2013-12-13 |
| 1861834178 | Ivan Brando Teves Aguilera | Podiatrist | 1510 S Central Ave, Ste 120, Glendale, CA 91204-2576 | 2013-07-28 |
| 1205176690 | Global Research Management, Inc | Specialist | 1510 S Central Ave, Suite 300, Glendale, CA 91204-2500 | 2013-02-21 |
| 1013206945 | Yen Tun Wang | Dermatology | 1510 S Central Ave, Suite 470, Glendale, CA 91204-2500 | 2011-03-31 |
| 1902105059 | Amandeep Kaur Randhawa | Podiatrist | 1510 S Central Ave, Suite 120, Glendale, CA 91204-2500 | 2011-03-15 |
| 1952543886 | Nathan Malcolm Miller | Chiropractor | 1510 S Central Ave, Suite 120, Glendale, CA 91204-2500 | 2009-03-24 |
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| 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 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1396113577 | Crystal Genereux | Specialist | 5301 W Desert Hills Dr, Glendale, AZ 85304-2701 | 2015-09-04 |
| 1144600057 | Alicia Delgado | Specialist | 68-29 64th Place, Glendale, NY 11385 | 2015-06-05 |
| 1881081438 | Ifetayo Khalila Blissett | Specialist | 7618 69th Pl, 5e, Glendale, NY 11385-7134 | 2015-04-22 |
| 1912392598 | Bridgit Berthen | Specialist | 7131 66th St, Glendale, NY 11385-7065 | 2015-04-01 |
| 1366835241 | Rumena Begum | Specialist | 7444 64th Pl, Glendale, NY 11385-6135 | 2015-03-16 |
| 1669870572 | Kamila E Jaskowiak | Specialist | 6049 75th Ave, 2nd Fl, Glendale, NY 11385-6168 | 2014-12-08 |
| 1770986325 | Gloria Pineda | Specialist | 7108 72nd Pl, Glendale, NY 11385-7337 | 2014-09-26 |
| 1457764268 | Shannon Victoria Martinez | Specialist | 7818 81st St, Glendale, NY 11385-7633 | 2014-06-09 |
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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.