PEDIATRIC SUBSPECIALTY ASSOCIATES, INC (NPI# 1356582860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356582860 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SUBSPECIALTY ASSOCIATES, INC |
| Practice Address |
501 W Glenoaks Blvd #650 Glendale CA 91202-2896 |
| Mailing Address |
3825 Woodcliff Rd Sherman Oaks CA 91403-5053 |
| Practice Telephone | 3233760228 |
| Practice Fax Number | 8187887857 |
| Mailing Telephone | 3233760228 |
| Mailing Fax Number | 8187887857 |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |
| Authorized Official Name | DR. ANINDA DAS (PRESIDENT) |
| Authorized Official Telephone | 3233760228 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
A55664 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
501 W GLENOAKS BLVD #650 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-2896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770579518 | Best Care Medical Management Inc | Pharmacy | 501 W Glenoaks Blvd, Ste 12, Glendale, CA 91202-3395 | 2005-09-27 |
| 1275957748 | Child Neurology of Beverly Hills | Psychiatry & Neurology | 501 W Glenoaks Blvd, # 705, Glendale, CA 91202-2896 | 2014-02-05 |
| 1831478908 | Christine Sarkissian | Dental Hygienist | 501 W Glenoaks Blvd, 104, Glendale, CA 91202 | 2011-08-08 |
| 1225320633 | Best Care Medical Management, Inc | Durable Medical Equipment & Medical Supplies | 501 W Glenoaks Blvd, 12, Glendale, CA 91202-3395 | 2011-05-04 |
| 1790912210 | Ovsep Lusinyan D.d.s. | Dentist | 501 W Glenoaks Blvd, #12, Glendale, CA 91202-2896 | 2009-06-11 |
| 1770748261 | Child Neurology of Beverly Hills, Inc | Clinic/Center | 501 W Glenoaks Blvd, # 705, Glendale, CA 91202-2896 | 2008-07-23 |
| 1467640128 | Medwise Health & Diagnostic Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 501 W Glenoaks Blvd, 432, Glendale, CA 91202-2896 | 2007-10-09 |
| 1265650493 | Vahan Madatovian | Family Medicine | 501 W Glenoaks Blvd, Suite 205, Glendale, CA 91202-4042 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
| 1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
| 1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
| 1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
| 1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
| 1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
| 1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
| 1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
| 1669624219 | Marine Demirjian | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202 | 2008-10-15 |
| 1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
| Find all providers in zip 91202 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104243666 | Leila Caroline Aurora Posch | Pediatrics | 4650 W Sunset Blvd # 51, Los Angeles, CA 90027-6062 | 2014-03-23 |
| 1164773909 | Beatriz Larru | Pediatrics | 3701 Wilshire Boulevard, Suite #600, Los Angeles, CA 90010-2814 | 2012-09-19 |
| 1700146818 | William V La Via | Pediatrics | 654 Palmera Ave, Pacific Palisades, CA 90272-3356 | 2012-05-22 |
| 1114299757 | Henry R Shinefield | Pediatrics | 1858 N Beverly Dr, Beverly Hills, CA 90210-1611 | 2012-01-28 |
| 1346541026 | Despina G Contopoulos-ioannidis | Pediatrics | 300 Pasteur Drive; Room G312, Stanford Univ Sch.med; Dept Pediatrics, Div. Infect.dis, Stanford, CA 94305 | 2010-11-11 |
| 1942478524 | Pia S Pannaraj | Pediatrics | 4650 Sunset Blvd., Ms#51, Children's Hospital Los Angeles, Los Angeles, CA 90027 | 2008-02-15 |
| 1790867174 | Margaret E Feeney | Pediatrics | 1001 Potrero Ave., Building 3, Room 525, Ucsf Division of Experimental Medicine, San Francisco, CA 94110-3518 | 2006-10-19 |
| 1558441428 | Andrew Michael Wiesenthal | Pediatrics | 555 Mission St, C/o Deloitte Consulting, LLP, San Francisco, CA 94105-0920 | 2006-10-16 |
| 1164511002 | Carol A Glaser | Pediatrics | 500 Parnassus Ave # 0136, San Francisco, CA 94143-2203 | 2006-10-11 |
| 1154429793 | Michael N Neely | Pediatrics | 1640 Marengo St, Hra 300, Los Angeles, CA 90033-1036 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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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.