MAJOR MEDICAL MANAGEMENT, INC. (NPI# 1942699236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942699236 |
| Entity Type | Organization |
| Organization Name | MAJOR MEDICAL MANAGEMENT, INC. |
| Other Organization Name | VALLEY REGIONAL SURGERY CENTER |
| Practice Address |
1510 S Central Ave Ste 120 Glendale CA 91204-2500 |
| Mailing Address |
14624 Sherman Way Ste 306 Van Nuys CA 91405-2241 |
| Practice Telephone | 8182423668 |
| Mailing Telephone | 8182423668 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | DR. CHARLES BLAINE (PODIATRIC SURGEON) |
| Authorized Official Telephone | 8182423668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
E3817 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Valley Regional Surgery Center | Doing Business As Name - Organization |
| Street Address |
1510 S CENTRAL AVE STE 120 |
| 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 |
| 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 |
| 1679714166 | Access Wound Care and Podiatry Care Clinic | Podiatrist | 1510 S Central Ave, Suite 120, Glendale, CA 91204-2500 | 2009-03-13 |
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| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
| 1487276952 | Arrowhead North Surgery Center, LLC | Clinic/Center | 16390 N 59th Ave Ste 100, Glendale, AZ 85306-1711 | 2020-05-07 |
| 1578197869 | Windsor Surgery Center LLC | Clinic/Center | 800 S Central Ave Ste 102, Glendale, CA 91204-4370 | 2020-02-26 |
| 1740814938 | Windsor Surgery Center of Glendale LLC | Clinic/Center | 800 S Central Ave Ste 103, Glendale, CA 91204-4395 | 2020-02-26 |
| 1700417797 | Broadway Wellness Center Inc | Clinic/Center | 716 W Broadway Ste 100, Glendale, CA 91204-1010 | 2020-01-29 |
| 1891257473 | Westgate Surgery Center, LLC | Clinic/Center | 7330 N 99th Ave Ste 100, Glendale, AZ 85307-3016 | 2019-04-03 |
| 1194291401 | Affiliated Physicians & Surgeons, Ltd | Clinic/Center | 20325 N 51st Ave Ste 102-104, Glendale, AZ 85308-5674 | 2018-10-15 |
| 1558853234 | Broadway Laser Surgical Institute, Inc. | Clinic/Center | 1100 E Broadway Ste 201, Glendale, CA 91205-1380 | 2018-05-30 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1194185637 | Avalon Surgery and Robotic Center, LLC | Clinic/Center | 716 W Broadway Ste 200, Glendale, CA 91204-1010 | 2016-02-25 |
| 1568820892 | Socal Outpatient Surgery Center | Clinic/Center | 1141 N Brand Blvd Ste 202, Glendale, CA 91202-3660 | 2016-02-01 |
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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.