MR. GRANT KOSTIKIAN (NPI# 1578777546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578777546 |
| Entity Type | Individual |
| Full Name | MR. GRANT KOSTIKIAN |
| Practice Address |
1386 E Garfield Ave Glendale CA 91205-2660 |
| Practice Telephone | 8182818091 |
| Mailing Telephone | 8182818091 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| X | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
1386 E GARFIELD AVE |
| City | GLENDALE |
| State | CA |
| Zip Code | 91205-2660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689888653 | Gna Diagnostic | Clinic/Center | 1386 E Garfield Ave, Glendale, CA 91205-2660 | 2007-05-09 |
| 1174700405 | Grant Diagnostic Services,inc | Clinic/Center | 1386 E Garfield Ave, Glendale, CA 91205-2660 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
| 1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
| 1801373469 | Lucky Riders Inc. | Non-emergency Medical Transport (VAN) | 1251 Boynton St Apt 1, Glendale, CA 91205 | 2018-07-25 |
| 1669967006 | Happy Life Home Health Care Inc | Home Health | 225 East Broadway St, Suite 203, Glendale, CA 91205 | 2018-06-28 |
| 1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
| 1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
| 1619496080 | Elite Care Home Health Services Inc | Home Health | 225 E.broadway, Suite B114, Glendale, CA 91205 | 2017-09-16 |
| 1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
| 1730533670 | Arm Trans Management Company | Non-emergency Medical Transport (VAN) | 627 E. Windsor Rd # 6, Glendale, CA 91205 | 2016-04-18 |
| 1104290824 | Caremore Health Plan | Nurse Practitioner | 406 E. Colorado Street, Glendale, CA 91205 | 2015-11-18 |
| Find all providers in zip 91205 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1396903571 | The Massage Fix Inc | Clinic/Center | 3600 Ocean View Blvd, Suite 1, Glendale, CA 91208-1272 | 2008-05-24 |
| 1023208212 | Arrowhead Health Center & Spa, Pllc | Clinic/Center | 17100 W 67th Ave, 300, Glendale, AZ 85308-3605 | 2007-07-25 |
| 1376582775 | Columbia St Mary's Hospital Ozaukee, Inc. | Clinic/Center | 4425 N Port Washington Rd, Glendale, WI 53212-1082 | 2006-06-05 |
| 1831685320 | Healing Service Agency LLC | Clinic/Center | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2018-07-08 |
| 1659735504 | Tulaya Wellness Corp | Clinic/Center | 6789 N Green Bay Ave, Glendale, WI 53209-3472 | 2016-04-07 |
| 1912379090 | Quick Med Center LLC | Clinic/Center | 5104 N 67th Ave, Glendale, AZ 85301 | 2015-10-28 |
| 1821368218 | Banner Physician Specialists Arizona LLC | Clinic/Center | 10150 N 67th Ave, Ste 101, Glendale, AZ 85302-1004 | 2012-01-03 |
| 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.