INTERVENTIONAL SPINE CARE & ORTHOPEDIC REGENERATIVE EXPERTS


Address: 1500 S Central Ave, Suite 101, Glendale, CA 91204-2530
Phone: 8189139356

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
51 N 5th Ave Ste 301, Arcadia, CA 910063712 8183386860

Office Location

Street Address 1500 S CENTRAL AVE
SUITE 101
City GLENDALE
State CA
Zip Code 91204-2530

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City GLENDALE
Zip Code 91204

Improve Information

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Dataset Information

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.

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