CENTRAL NEURO DIAGNOSTIC, INC (NPI# 1902034408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902034408 |
| Entity Type | Organization |
| Organization Name | CENTRAL NEURO DIAGNOSTIC, INC |
| Practice Address |
330 N Brand Blvd Suite 180 Glendale CA 91203-2308 |
| Mailing Address |
330 N Brand Blvd Suite 180 Glendale CA 91203-2325 |
| Practice Telephone | 8182471718 |
| Practice Fax Number | 8182471817 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | SUSANNA YAGUBYAN (MANAGER) |
| Authorized Official Telephone | 8183896568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
330 N BRAND BLVD SUITE 180 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043284359 | Movses D'janbatian | Optometrist | 330 N Brand Blvd, Suite 110, Glendale, CA 91203-2308 | 2006-02-14 |
| 1427505841 | Caroline Dang | Optometrist | 330 N Brand Blvd, Suite 110, Glendale, CA 91203-2308 | 2016-09-01 |
| 1275930638 | Triple S R Pharmacy Inc | Pharmacy | 330 N Brand Blvd, Suite 155, Glendale, CA 91203-2308 | 2014-12-01 |
| 1326352931 | Rachel Chingyin Wu | Optometrist | 330 N Brand Blvd, #110, Glendale, CA 91203-2308 | 2010-08-06 |
| 1649505611 | Maia J Budnero | Optometrist | 330 N Brand Blvd, Suite 110, Glendale, CA 91203-2308 | 2009-10-08 |
| 1306035118 | Advanced Eyecare Professional Optometric Group | Optometrist | 330 N Brand Blvd, Suite 110, Glendale, CA 91203-2308 | 2007-10-17 |
| 1053503581 | Dr. Movses D'janbatian, Od, Inc. | Optometrist | 330 N Brand Blvd, Suite 110, Glendale, CA 91203-2308 | 2007-08-17 |
| 1316066392 | Elizabeth Virginia Murphy | Preventive Medicine | 330 N Brand Blvd, Glendale, CA 91203-2308 | 2007-03-28 |
| 1588709190 | Ida A Sarajian | Optometrist | 330 N Brand Blvd, Suite 110, Glendale, CA 91203 | 2007-02-21 |
| 1558432633 | Bruce Allen Hornstein | Optometrist | 330 N Brand Blvd, Suite 110, Glendale, CA 91203-2308 | 2006-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115044 | Family & Friends Home Health Care Inc | Home Health | 417 W Arden St Suite 106a, Glendale, CA 91203 | 2019-03-27 |
| 1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
| 1609381730 | Envoy Hospice Care Inc | Hospice Care, Community Based | 5002 N Central Ave Ste 510, Glendale, CA 91203 | 2017-12-12 |
| 1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
| 1588190664 | Vanessa Guzman | Physician Assistant | 600 N. Central Ave, 322, Glendale, CA 91203 | 2017-05-10 |
| 1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
| 1477090934 | Blue Med-ride Medical Transportation | Non-emergency Medical Transport (VAN) | 121 W Lexington Dr # L200, Glendale, CA 91203 | 2017-01-23 |
| 1427593557 | Ofelia Oundjian | Counselor | 237 N Central Ave., Glendale, CA 91203 | 2016-12-28 |
| 1316396823 | Shaunak Jaiprakash Intwala | Pharmacist | 330 N Brand Blvd Ste 155, Glendale, CA 91203 | 2016-06-06 |
| 1295117315 | Luis Ernesto Garcia Artiga | Licensed Vocational Nurse | 500 N Central Ave Suite 250, Glendale, CA 91203 | 2015-06-25 |
| Find all providers in zip 91203 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336371 | Ultratech Services | Physiological Laboratory | 118 W Stocker St # 3, Glendale, CA 91202-2509 | 2018-12-04 |
| 1598153546 | Pulmo-tech, LLC | Physiological Laboratory | 411 Naranja Dr, E, Glendale, CA 91206-3443 | 2014-12-29 |
| 1669691549 | Prime Imaging Inc | Physiological Laboratory | 417 Arden Ave, 112a, Glendale, CA 91203-4045 | 2007-04-25 |
| 1982659520 | A J Diagnostic Inc | Physiological Laboratory | 318 1/2 N Brand Blvd, Glendale, CA 91203-2304 | 2006-05-23 |
| 1003865767 | Brand Diagnostic Center,inc | Physiological Laboratory | 100 N Brand Blvd, Suite 532, Glendale, CA 91203-2641 | 2006-05-09 |
| 1083150593 | Am Imaging Network | Physiological Laboratory | 655 N Central Ave, 1700, Glendale, CA 91203-1422 | 2017-01-09 |
| 1215391883 | Ultrasonics Diagnostics LLC | Physiological Laboratory | 7309 Myrtle Ave, Glendale, NY 11385-7418 | 2016-04-11 |
| 1831418474 | Insight Health Corp | Physiological Laboratory | 6320 W Union Hills Dr, Bldg A, Suite 120, Glendale, AZ 85308-1096 | 2010-05-21 |
| 1548589187 | Insight Health Corp | Physiological Laboratory | 5620 W Thunderbird Rd, Sre B2, Glendale, AZ 85306-4636 | 2010-05-21 |
| 1730408378 | Insight Health Corp | Physiological Laboratory | 5620 W Thunderbird Rd, Ste A, Glendale, AZ 85306-4636 | 2010-05-21 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on CENTRAL NEURO DIAGNOSTIC, INC.
| 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.