GLENDALE ADVENTIST MEDICAL CENTER (NPI# 1841289923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841289923 |
| Entity Type | Organization |
| Organization Name | GLENDALE ADVENTIST MEDICAL CENTER |
| Other Organization Name | ADVENTIST HEALTH GLENDALE |
| Practice Address |
1509 Wilson Ter Glendale CA 91206-4007 |
| Practice Telephone | 8184098000 |
| Practice Fax Number | 8185465600 |
| Mailing Telephone | 8184098000 |
| Mailing Fax Number | 8185465600 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | KEVIN ROBERTS (CEO/PRESIDENT) |
| Authorized Official Telephone | 8184098289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 930000059 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HHA07645F | 05 |
| Other Name | Type Code |
|---|---|
| Adventist Health Glendale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588040786 | Glendale Adventist Medical Center | Pharmacy | 1509 Wilson Ter Rm 4b13, Glendale, CA 91206-4007 | 2015-08-11 |
| 1851747711 | Glendale Adventist Medical Center | General Acute Care Hospital | 1509 Wilson Terrace, Glendale, CA 91206 | 2016-05-10 |
| 1669713160 | Glendale Adventist Medical Center | General Acute Care Hospital | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2013-03-07 |
| 1336138403 | Glendale Adventist Medical Center | Psychiatric Unit | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2005-10-20 |
| 1396734471 | Glendale Adventist Medical Center | Rehabilitation Unit | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2005-10-20 |
| 1114916293 | Glendale Adventist Medical Center | Skilled Nursing Facility | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2005-10-20 |
| 1831188275 | Glendale Adventist Medical Center | General Acute Care Hospital | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2005-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GLENDALE ADVENTIST MEDICAL CENTER FOUNDATION | 1509 Wilson Ter, Glendale, CA 91206-4007 |
| Street Address |
1509 WILSON TER |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308090 | Larry Ereshefsky | Pharmacist | 1509 Wilson Ter, Wing 55 Main Floor, Glendale, CA 91206-4007 | 2005-07-05 |
| 1235737867 | Linda Lee | Physician Assistant | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-15 |
| 1669079281 | Daniel Trabulus | Marriage & Family Therapist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-06 |
| 1437766938 | Lena Linda Mazmanyan | Pharmacist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-29 |
| 1639784515 | Peter Kwaku Boateng | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-09 |
| 1811500945 | Nathaniel Jordan Khoe | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-28 |
| 1720691413 | Miguel A Santiago Cruz | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-24 |
| 1386256188 | Ronda Armatrading | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-21 |
| 1396356465 | Joanne Inawat Lopez | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-12 |
| 1093324949 | Tigran Tiraturyan Md Inc | Internal Medicine | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558644 | Assure Home Health Care | Home Health | 217 N Verdugo Rd Apt D, Glendale, CA 91206-5237 | 2020-11-04 |
| 1053912436 | Adonai Home Health Care | Home Health | 1010 N Central Ave # 410, Glendale, CA 91202-2937 | 2020-11-03 |
| 1598365793 | Hde Home Health Care Inc | Home Health | 225 E Broadway Ste B103b, Glendale, CA 91205-1008 | 2020-10-27 |
| 1326648585 | Traditional Home Health, Inc | Home Health | 415 E Harvard St Ste 204a, Glendale, CA 91205-1057 | 2020-10-27 |
| 1962002121 | Valley United Home Health Inc | Home Health | 427 W Colorado St Ste 205, Glendale, CA 91204-4811 | 2020-10-27 |
| 1831799204 | Lifepro Home Health Care, Inc. | Home Health | 221 E Glenoaks Blvd # 222b, Glendale, CA 91207-2085 | 2020-10-27 |
| 1205433836 | Guardians Home Health Care | Home Health | 901 S Glendale Ave Ste E, Glendale, CA 91205-5614 | 2020-10-06 |
| 1578170122 | Amg Home Health, Inc | Home Health | 1234 S Glendale Ave Ste A, Glendale, CA 91205-5674 | 2020-09-28 |
| 1912513037 | Wellness Empire | Home Health | 805 E Wilson Ave Unit B, Glendale, CA 91206-4457 | 2020-09-23 |
| 1427664127 | Rainbow Home Health Care | Home Health | 225 E Broadway Ste B105a, Glendale, CA 91205-1008 | 2020-09-17 |
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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.