MEDWISE HEALTH & DIAGNOSTIC INC. (NPI# 1467640128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467640128 |
| Entity Type | Organization |
| Organization Name | MEDWISE HEALTH & DIAGNOSTIC INC. |
| Practice Address |
501 W Glenoaks Blvd 432 Glendale CA 91202-2896 |
| Practice Telephone | 8185680006 |
| Practice Fax Number | 8182413319 |
| Mailing Telephone | 8185680006 |
| Mailing Fax Number | 8182413319 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | MR. ALFRED KESHISHIANS (CEO/PRESIDENT) |
| Authorized Official Telephone | 8185680006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | A52415 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE NUMBER | A52415 | 01 |
| Street Address |
501 W GLENOAKS BLVD 432 |
| 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 |
| 1356582860 | Pediatric Subspecialty Associates, Inc | Pediatrics | 501 W Glenoaks Blvd, #650, Glendale, CA 91202-2896 | 2009-03-12 |
| 1770748261 | Child Neurology of Beverly Hills, Inc | Clinic/Center | 501 W Glenoaks Blvd, # 705, Glendale, CA 91202-2896 | 2008-07-23 |
| 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 | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
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| 1396988200 | Portable Diagnostic Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5534 W Riviera Dr, Glendale, AZ 85304-2700 | 2009-04-08 |
| 1174154942 | Sonus Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 N Brand Blvd Unit 200, Glendale, CA 91203-3590 | 2020-01-30 |
| 1073982716 | Sonohealthcare Solutions | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1101 E Broadway, Suite 109, Glendale, CA 91205-1383 | 2015-09-23 |
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| 1063074730 | Better Life United Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4100 Easton Dr Ste 12, Bakersfield, CA 93309-9418 | 2019-07-02 |
| 1679134118 | Sd Xray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3220 S Brea Canyon Rd Ste B, Diamond Bar, CA 91765-3481 | 2019-06-25 |
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1457816712 | Pmdtc, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 23297 S Pointe Dr Ste 120, Laguna Hills, CA 92653-1491 | 2019-01-31 |
| 1083188767 | Mabel Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 356 E Olive Ave Ste 111, Burbank, CA 91502-1260 | 2019-01-16 |
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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.