GLENDALE ADVENTIST MEDICAL CENTER (NPI# 1114916293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114916293 |
| Entity Type | Organization |
| Organization Name | GLENDALE ADVENTIST MEDICAL CENTER |
| Other Organization Name | ADVENTIST HEALTH GLENDALE |
| Practice Address |
1509 Wilson Ter Glendale CA 91206-4007 |
| Practice Telephone | 8184098000 |
| Practice Fax Number | 8185465600 |
| Mailing Telephone | 8184098000 |
| Mailing Fax Number | 8185465600 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | ALICE ISSAI (CEO/PRESIDENT) |
| Authorized Official Telephone | 8184098289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 930000059 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55419F | 05 |
| 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 |
| 1851747711 | Glendale Adventist Medical Center | General Acute Care Hospital | 1509 Wilson Terrace, Glendale, CA 91206 | 2016-05-10 |
| 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 |
| 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 TER |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308090 | Larry Ereshefsky | Pharmacist | 1509 Wilson Ter, Wing 55 Main Floor, Glendale, CA 91206-4007 | 2005-07-05 |
| 1235737867 | Linda Lee | Physician Assistant | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-15 |
| 1669079281 | Daniel Trabulus | Marriage & Family Therapist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-06 |
| 1437766938 | Lena Linda Mazmanyan | Pharmacist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-29 |
| 1639784515 | Peter Kwaku Boateng | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-09 |
| 1811500945 | Nathaniel Jordan Khoe | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-28 |
| 1720691413 | Miguel A Santiago Cruz | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-24 |
| 1386256188 | Ronda Armatrading | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-21 |
| 1396356465 | Joanne Inawat Lopez | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-12 |
| 1093324949 | Tigran Tiraturyan Md Inc | Internal Medicine | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-07-27 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
| 1568929891 | Family Care Clhf, Inc. | Skilled Nursing Facility | 1412 Cleveland Rd, Glendale, CA 91202-1415 | 2019-02-22 |
| 1831645282 | Glendale House Clhs, Inc. | Skilled Nursing Facility | 620 Myrtle St, Glendale, CA 91203-1612 | 2016-08-26 |
| 1881085728 | Center At Arrowhead, LLC | Skilled Nursing Facility | 7201 W. Camino San Xavier Ave., Glendale, AZ 85308 | 2015-02-13 |
| 1740543545 | Kindred | Skilled Nursing Facility | 5677 N Argyle Ave, Glendale, WI 53209-4359 | 2012-06-18 |
| 1447498852 | Ahc of Glendale LLC | Skilled Nursing Facility | 16825 N 63rd Avenue, Glendale, AZ 85306-1001 | 2009-01-23 |
| 1043335979 | Andrea M Martell | Skilled Nursing Facility | 17600 N 79th Ave, Apt 102, Glendale, AZ 85308-8682 | 2007-03-20 |
| 1164575320 | Central Convalescent Hospital of Glendale Inc | Skilled Nursing Facility | 525 S Central Ave, Glendale, CA 91204-2006 | 2007-01-19 |
| 1154474302 | Dakota Medical Inc. | Skilled Nursing Facility | 409 W Glenoaks Blvd, Glendale, CA 91202-2916 | 2007-01-19 |
| 1053480418 | Broadway Manor Care Center Inc | Skilled Nursing Facility | 605 W Broadway, Glendale, CA 91204-1007 | 2006-11-07 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on GLENDALE ADVENTIST MEDICAL CENTER.
| 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.