GLENDALE ADVENTIST MEDICAL CENTER (NPI# 1851747711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851747711 |
| Entity Type | Organization |
| Organization Name | GLENDALE ADVENTIST MEDICAL CENTER |
| Other Organization Name | ADVENTIST HEALTH GLENDALE |
| Practice Address |
1509 Wilson Terrace Glendale CA 91206 UM |
| Mailing Address |
2437 Mcpherson Pl Los Angeles CA 90032-3207 |
| Practice Telephone | 8184098000 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | KEVIN ROBERTS (CEO/PRESIDENT) |
| Authorized Official Telephone | 8184098000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 73633 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| Adventist Health Glendale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588040786 | Glendale Adventist Medical Center | Pharmacy | 1509 Wilson Ter Rm 4b13, Glendale, CA 91206-4007 | 2015-08-11 |
| 1669713160 | Glendale Adventist Medical Center | General Acute Care Hospital | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2013-03-07 |
| 1336138403 | Glendale Adventist Medical Center | Psychiatric Unit | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2005-10-20 |
| 1396734471 | Glendale Adventist Medical Center | Rehabilitation Unit | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2005-10-20 |
| 1114916293 | Glendale Adventist Medical Center | Skilled Nursing Facility | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2005-10-20 |
| 1841289923 | Glendale Adventist Medical Center | Home Health | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2005-10-20 |
| 1831188275 | Glendale Adventist Medical Center | General Acute Care Hospital | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2005-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GLENDALE ADVENTIST MEDICAL CENTER FOUNDATION | 1509 Wilson Ter, Glendale, CA 91206-4007 |
| Street Address |
1509 WILSON TERRACE |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689649469 | Michael Jefferson | Anesthesiology | 1509 Wilson Terrace, Glendale, CA 91206-4098 | 2006-02-23 |
| 1609406925 | Katherine Elizabeth Keklak | Registered Nurse | 1509 Wilson Terrace, Glendale, CA 91206 | 2020-01-26 |
| 1225681661 | Abigail Valdez | Dietitian, Registered | 1509 Wilson Terrace, Glendale, CA 91206 | 2019-07-23 |
| 1578982435 | Sheilah Maureen Kraetzel | Internal Medicine | 1509 Wilson Terrace, Glendale, CA 91206-4007 | 2014-04-08 |
| 1033393053 | Monica Natalia Macias | Pharmacist | 1509 Wilson Terrace, Glendale, CA 91206-4007 | 2007-12-27 |
| 1083754501 | Khin Swe Lay | Pediatrics | 1509 Wilson Terrace, Glendale Adventist Medical Center, Glendale, CA 91206-4007 | 2007-02-07 |
| 1811036007 | Mona Lai King Chung | Pediatrics | 1509 Wilson Terrace, Glendale Adventist Medical Center, Glendale, CA 91206-4007 | 2007-02-05 |
| 1780741330 | George Delfin Reyes | Radiology | 1509 Wilson Terrace, Glendale, CA 91206-4007 | 2007-01-02 |
| 1366525487 | Los Angeles Radiology Medical Associates, Inc. | Radiology | 1509 Wilson Terrace, Glendale, CA 91206-4007 | 2006-10-23 |
| 1548351000 | Marie A. Moy | Radiology | 1509 Wilson Terrace, Glendale, CA 91206-4007 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639621501 | Satelitte Medication Dispensing | General Acute Care Hospital | 1509 Wilson Ter # 4b13, Glendale, CA 91206-4007 | 2016-10-26 |
| 1689052797 | Lac-usc Med Center | General Acute Care Hospital | 2323 Flintridge Dr, Glendale, CA 91206-1024 | 2015-05-08 |
| 1992131734 | Dignity Health | General Acute Care Hospital | 7300 N 99th Ave, Glendale, AZ 85305-1400 | 2013-09-25 |
| 1720425374 | Donald R Borg | General Acute Care Hospital | 606 Galer Pl, Glendale, CA 91206-2509 | 2013-05-22 |
| 1144533217 | Interstate Rehabilitation Services | General Acute Care Hospital | 411 Lincoln Ave Apt 18, Glendale, CA 91205-4312 | 2010-07-19 |
| 1669584983 | Orthopaedic Hospital of Wisconsin, LLC | General Acute Care Hospital | 475 W River Woods Pkwy, Glendale, WI 53212-1081 | 2006-08-31 |
| 1033716147 | Usc Verdugo Hills Hospital | General Acute Care Hospital | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2020-10-02 |
| 1053857649 | Stepanyan | General Acute Care Hospital | 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205-4435 | 2017-01-06 |
| 1548638844 | Glendale Adventist Medicat Center | General Acute Care Hospital | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2015-09-03 |
| 1700266244 | Asapnurse Rn PC | General Acute Care Hospital | 8828 75th Ave, Glendale, NY 11385-7926 | 2015-05-30 |
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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.