DR. ROBERT TADASHI HATANAKA (NPI# 1487621801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487621801 |
| Entity Type | Individual |
| Full Name | DR. ROBERT TADASHI HATANAKA |
| Credential | DPM |
| Practice Address |
1101 N Pacific Ave Ste 104 Glendale CA 91202 |
| Practice Telephone | 8185525000 |
| Practice Fax Number | 8185522959 |
| Mailing Telephone | 8185525000 |
| Mailing Fax Number | 8185522959 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2010-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E3814 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E38140 | 05 |
| Street Address |
1101 N PACIFIC AVE STE 104 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346740966 | Lilit Hovnanian | Pharmacist | 1101 N Pacific Ave, Glendale, CA 91202-3250 | 2018-02-20 |
| 1457809758 | California Therapy Center and Psychological Services Inc | Psychologist | 1101 N Pacific Ave, Suite 204, Glendale, CA 91202-3250 | 2016-09-14 |
| 1255603791 | Talin Talin Arakelian | Pharmacist | 1101 N Pacific Ave, 101, Glendale, CA 91202-3250 | 2012-01-30 |
| 1962632844 | Alfret Moradian Md,a Medical Corporation | Clinic/Center | 1101 N Pacific Ave, Suite 102, Glendale, CA 91202-3250 | 2009-07-25 |
| 1467682831 | Gilda Torossian | Dentist | 1101 N Pacific Ave, #202, Glendale, CA 91202-3250 | 2009-07-20 |
| 1457598385 | Maria Leviste Md Inc. | Internal Medicine | 1101 N Pacific Ave, Suite #103, Glendale, CA 91202-3250 | 2009-01-14 |
| 1235389164 | Armen Kazanchian Md Inc | Internal Medicine | 1101 N Pacific Ave, # 103, Glendale, CA 91202-3250 | 2008-09-29 |
| 1821257437 | Clinica Medica Santa Isabel Inc | General Practice | 1101 N Pacific Ave, Suite 104, Glendale, CA 91202-4313 | 2008-06-09 |
| 1134311921 | Anna Gevorkyan | Pharmacist | 1101 N Pacific Ave, Suite 101, Glendale, CA 91202-4310 | 2007-08-15 |
| 1235359845 | Armen Kazanchian | Internal Medicine | 1101 N Pacific Ave, Suite # 103, Glendale, CA 91202-3250 | 2007-04-26 |
| Find all providers in the same location | ||||
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154602399 | Sole Care LLC | Podiatrist | 5660 W Potter Dr, Glendale, AZ 85308-9164 | 2011-09-01 |
| 1811166341 | Spyros Tsoumpariotis | Podiatrist | 7901 Myrtle Ave, Glendale, NY 11385-7441 | 2008-02-28 |
| 1164608394 | Joseph Addiego | Podiatrist | 1510 S Central Ave Ste 120, Glendale, CA 91204-2576 | 2008-01-17 |
| 1073660353 | Glenoaks Podiatry Group Inc | Podiatrist | 844 West Glenoaks Blvd, Glendale, CA 91202-2134 | 2007-01-05 |
| 1417032863 | Spyros Tsoumpariotis | Podiatrist | 79-01 Myrtle Ave, Glendale, NY 11385 | 2006-10-26 |
| 1700968377 | Thunderbird Podiatry | Podiatrist | 5620 W Thunderbird, G2, Glendale, AZ 85306 | 2006-10-20 |
| 1124112255 | Jeffrey Howard Stark | Podiatrist | 6216 Myrtle Ave, Glendale, NY 11385-6236 | 2006-10-03 |
| 1205937133 | Andrew C La | Podiatrist | 1510 S Central Ave #120, Glendale, CA 91204-2577 | 2006-09-25 |
| 1619076924 | George Nirvano Thompson Sr. | Podiatrist | 5757 West Thunderbird Road, Suite W203, Glendale, AZ 85306-4649 | 2006-09-22 |
| 1790713493 | Frank J Garofalo | Podiatrist | 1101 N Pacific Ave Ste 104, Glendale, CA 91202-4313 | 2006-06-29 |
| Find all providers in GLENDALE | ||||
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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.