DR. NOUBAR VARDERESSIAN (NPI# 1790218550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790218550 |
| Entity Type | Individual |
| Full Name | DR. NOUBAR VARDERESSIAN |
| Credential | DPM |
| Practice Address |
1122 N Columbus Ave Apt. 2 Glendale CA 91202-3241 |
| Practice Telephone | 8186066740 |
| Mailing Telephone | 8186066740 |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2020-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006823 | PA | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1122 N COLUMBUS AVE APT. 2 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-3241 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072090 | Foot & Ankle Specialists of Arizona | Podiatrist | 5681 W Beverly Ln Ste 100a, Glendale, AZ 85306-9800 | 2020-04-23 |
| 1609366533 | Podiatric Physicians of Arizona, Inc. | Podiatrist | 11851 N 51st Ave Ste D120, Glendale, AZ 85304-2839 | 2018-05-16 |
| 1659721850 | Samvel Keshishyan | Podiatrist | 1339 N Columbus Ave Unit 311, Glendale, CA 91202-3875 | 2016-06-17 |
| 1639583388 | Jamila Butcher | Podiatrist | 5605 W Eugie Ave Ste 102, Glendale, AZ 85304-1273 | 2014-06-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1710173489 | Glendale Foot & Ankle Podiatry Center, Inc. | Podiatrist | 1030 S Glendale Ave Ste 403, Glendale, CA 91205-2866 | 2007-09-17 |
| 1760564272 | Hermoz B Ayvazian | Podiatrist | 110 S Adams St, Glendale, CA 91205-1312 | 2006-10-20 |
| 1467567883 | Rajesh Praful Daulat | Podiatrist | 6677 W Thunderbird Rd Ste J171-172, Glendale, AZ 85306-3732 | 2006-08-19 |
| 1780606764 | Allen Massihi | Podiatrist | 311 N Verdugo Rd, Glendale, CA 91206-3944 | 2006-07-25 |
| 1952343808 | Philip R Shupe | Podiatrist | 1530 E Chevy Chase Dr, Suite 107, Glendale, CA 91206-4163 | 2006-06-12 |
| 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.