INTERVENTIONAL SPINE CARE & ORTHOPEDIC REGENERATIVE EXPERTS (NPI# 1427509033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427509033 |
Entity Type | Organization |
Organization Name | INTERVENTIONAL SPINE CARE & ORTHOPEDIC REGENERATIVE EXPERTS |
Practice Address |
1500 S Central Ave Suite 101 Glendale CA 91204-2530 |
Mailing Address |
Po Box 8232 La Crescenta CA 91224-0232 |
Practice Telephone | 8189139356 |
Practice Fax Number | 8183697177 |
Mailing Telephone | 8189139356 |
Mailing Fax Number | 8183697177 |
Enumeration Date | 2016-10-18 |
Last Update Date | 2020-01-30 |
Authorized Official Name | DR. MAXIM MORADIAN (OWNER/PRESIDENT) |
Authorized Official Telephone | 8189139356 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
118692 | CA | Allopathic & Osteopathic Physicians |
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A118692 | CA | Allopathic & Osteopathic Physicians |
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
118692 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
51 N 5th Ave Ste 301, Arcadia, CA 910063712 | 8183386860 |
Street Address |
1500 S CENTRAL AVE SUITE 101 |
City | GLENDALE |
State | CA |
Zip Code | 91204-2530 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922088459 | Serena A Tu | Pediatrics | 1500 S Central Ave, Suite 100, Glendale, CA 91204-2530 | 2006-01-19 |
1215298286 | Western Podmed Clinic Inc | Podiatrist | 1500 S Central Ave, Suite 323, Glendale, CA 91204-3858 | 2012-06-06 |
1811261266 | Anahit Hovhannisyan | Nutritionist | 1500 S Central Ave, 321, Glendale, CA 91204-2530 | 2012-03-02 |
1801185095 | Danny Zaghi | Internal Medicine | 1500 S Central Ave, Ste 200, Glendale, CA 91204-2530 | 2011-03-29 |
1831406768 | Janet Aleksanyan | Registered Nurse | 1500 S Central Ave, Suite 322, Glendale, CA 91204-2530 | 2010-09-14 |
1376857276 | Claudia Dominguez | Dietitian, Registered | 1500 S Central Ave, Suite 221, Glendale, CA 91204-2530 | 2010-08-03 |
1386958353 | Satindar Dua | Dietitian, Registered | 1500 S Central Ave, Suite 221, Glendale, CA 91204-2530 | 2010-08-02 |
1538488333 | Melina Karabetyan Sukyas | Physician Assistant | 1500 S Central Ave, Suite 300, Glendale, CA 91204-2530 | 2010-05-19 |
1457675324 | Jon I. Sattler, M.d., Inc. | Plastic Surgery | 1500 S Central Ave, Suite 126, Glendale, CA 91204-2530 | 2010-03-22 |
1982934709 | Michelle Tablada-quintanilla | Pediatrics | 1500 S Central Ave, Suite 310, Glendale, CA 91204-2530 | 2009-12-29 |
Find all providers in the same location |
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 | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518496702 | Saa Healthcare LLC | Physical Medicine & Rehabilitation | 6320 W Union Hills Dr Ste 1400b, Glendale, AZ 85308-1061 | 2017-06-09 |
1700940541 | John Charles Porter | Physical Medicine & Rehabilitation | 6527 W Bloomfield Rd, Glendale, AZ 85304-1652 | 2006-12-19 |
1235774019 | Rjs Healthcare LLC | Physical Medicine & Rehabilitation | 6320 W Union Hills Dr Ste 1400b, Glendale, AZ 85308-1061 | 2019-11-15 |
1053955682 | Kayla Smith | Physical Medicine & Rehabilitation | 1700 W Bender Rd, Glendale, WI 53209-3852 | 2019-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881295608 | San Diego Comprehensive Pain Management Center, Inc | Physical Medicine & Rehabilitation | 1575 W Main St, El Centro, CA 92243-2211 | 2020-11-06 |
1760013536 | Aveva Medical Aesthetics Inc. | Physical Medicine & Rehabilitation | 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 | 2020-01-30 |
1902445620 | Irina L Melnik, Md Professional Corporation | Physical Medicine & Rehabilitation | 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 | 2019-12-27 |
1124669544 | Algos Inc., A Medical Corporation | Physical Medicine & Rehabilitation | 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 | 2019-10-07 |
1174084578 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 802 Iowa Ave, Los Banos, CA 93635-3450 | 2019-03-28 |
1083175483 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 777 S Ham Ln Ste G, Lodi, CA 95242-3593 | 2019-03-28 |
1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
1689157059 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 | 2018-09-12 |
1588147094 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2018-09-11 |
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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.