PACIFIC HEALTH MEDICAL GROUP (NPI# 1902209992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902209992 |
Entity Type | Organization |
Organization Name | PACIFIC HEALTH MEDICAL GROUP |
Practice Address |
319 S Brand Blvd Glendale CA 91204-1701 |
Practice Telephone | 8182400006 |
Practice Fax Number | 8182400038 |
Mailing Telephone | 8182400006 |
Mailing Fax Number | 8182400038 |
Enumeration Date | 2014-10-03 |
Last Update Date | 2014-10-03 |
Authorized Official Name | DR. GAYANE BEGOYAN (MEDICAL DOCTOR) |
Authorized Official Telephone | 8182400006 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
A113904 | CA | Ambulatory Health Care Facilities |
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
A113904 | CA | Ambulatory Health Care Facilities |
Street Address |
319 S BRAND BLVD |
City | GLENDALE |
State | CA |
Zip Code | 91204-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699749093 | Samir Farah Daher | Chiropractor | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2006-02-14 |
1144877952 | Best Pacific Md Group Inc | Pathology | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2019-08-26 |
1366880692 | Kristine Astvatsaturyan | Pathology | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2013-06-09 |
1629335492 | Aiz Inc | Surgery | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2012-04-18 |
1629283510 | Kenny E. Hanna Jr. | Surgery | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2007-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
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 |
Find all providers in zip 91204 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841683943 | Uplifting Lives Clinic of Arizona, LLC | Clinic/Center | 5150 N 99th Ave, Apt. 1097, Glendale, AZ 85305-3001 | 2015-03-13 |
1902338015 | Aspire Marriage & Family Therapy Services A Professional Corporation | Clinic/Center | 715 N Central Ave, Suite 108, Glendale, CA 91203-4262 | 2017-03-28 |
1992820583 | New Horizons Family Center, Inc. | Clinic/Center | 1251 S Glendale Ave, Glendale, CA 91205-3204 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PACIFIC HEALTH MEDICAL GROUP.
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.