STEPHAN GRIGORIAN MD INC (NPI# 1689980914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689980914 |
| Entity Type | Organization |
| Organization Name | STEPHAN GRIGORIAN MD INC |
| Other Organization Name | GLENPATH DIAGNOSTICS |
| Practice Address |
800 S Central Ave Suite 208 Glendale CA 91204-4370 |
| Practice Telephone | 8185071200 |
| Practice Fax Number | 8185071200 |
| Mailing Telephone | 8185071200 |
| Mailing Fax Number | 8185071200 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2013-04-03 |
| Authorized Official Name | DR. STEPHAN ROBERT GRIGORIAN (OWNER / PHYSICIAN) |
| Authorized Official Telephone | 8185071200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A88170 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Glenpath Diagnostics | Doing Business As Name - Organization |
| Street Address |
800 S CENTRAL AVE SUITE 208 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093752677 | Glendale Podiatry Group | Podiatrist | 800 S Central Ave, #302, Glendale, CA 91204-4370 | 2006-06-01 |
| 1619420916 | Alexander Tima | Acupuncturist | 800 S Central Ave, Suite 206, Glendale, CA 91204-4370 | 2016-08-03 |
| 1942665906 | Wfm Medical and Wellness Centers, Inc. | Acupuncturist | 800 S Central Ave, Suite 203, Glendale, CA 91204-4370 | 2015-12-17 |
| 1073907689 | All for Health Health for All Inc | Clinic/Center | 800 S Central Ave, Suite 308, Glendale, CA 91204-4370 | 2015-03-20 |
| 1780074138 | One Surgery Center LLC | Clinic/Center | 800 S Central Ave, Suite # 100a3, Glendale, CA 91204-4370 | 2015-01-23 |
| 1861827727 | Imanoel Pharmacy, Inc. | Pharmacy | 800 S Central Ave, Suite 101a, Glendale, CA 91204-4370 | 2013-09-11 |
| 1194062133 | Amaiak Chilingaryan, M.d., Inc | Psychiatry & Neurology | 800 S Central Ave, 307, Glendale, CA 91204-4370 | 2013-01-10 |
| 1144574484 | California Surgical Multi-specialty Group Inc. | Surgery | 800 S Central Ave, 212, Glendale, CA 91204-4370 | 2012-11-08 |
| 1700139987 | Jacqueline Anne Gabardy | Acupuncturist | 800 S Central Ave, Suite 302, Glendale, CA 91204-4370 | 2012-10-24 |
| 1205146990 | George B. Stoneman, Md, A Professional Corporation | Otolaryngology | 800 S Central Ave, Suite 204, Glendale, CA 91204-4370 | 2010-10-14 |
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| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
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| 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 Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
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|---|---|---|---|---|
| 1730411257 | Vonny Tunru-dinh | Pathology | 1630 Calle Vaquero, Apt#113, Glendale, CA 91206-1556 | 2010-02-09 |
| 1740278886 | Cyenthia Louise Koehler | Pathology | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2005-10-12 |
| 1265426928 | Citrus Pathology Medical Group | Pathology | 1420 S Central Ave, Dept of Pathology, Glendale, CA 91204-2508 | 2005-09-08 |
| 1508850421 | Chandnish K Ahluwalia | Pathology | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2005-09-07 |
| 1144877952 | Best Pacific Md Group Inc | Pathology | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2019-08-26 |
| 1366880692 | Kristine Astvatsaturyan | Pathology | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2013-06-09 |
| 1821129057 | Stephan Robert Grigorian | Pathology | 800 S Central Ave, Suite #208, Glendale, CA 91204-4370 | 2007-03-08 |
| 1104986629 | Shulan Tian | Pathology | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2006-12-12 |
| 1417925330 | Gregory G Coons | Pathology | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2006-03-08 |
| 1245207653 | Mark A Wasylenko | Pathology | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2006-03-03 |
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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.