NPIMap

Individual provider Active NPI

Nare Stepanyan, MD

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1003386558
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A158879 Issued in CA
Practice address
801 S Chevy Chase Dr Ste 230
Glendale, CA 91205-4436
Phone
(818) 500-5586
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A158879 CA Primary

Addresses

Primary practice location

801 S Chevy Chase Dr Ste 230
Glendale, CA 91205-4436

Mailing address

609 St Paul Ave # App515
Los Angeles, CA 90017-6006
Phone (954) 675-3257

Other identifiers 1

IdentifierTypeStateIssuer
A158879OtherCAMEDICAL LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204001354 CA Practitioner - Family Practice 1456698117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optimum Medical Group NorthGroup PAC ID 5294132692, 2 clinicians

Practice addresses (Care Compare)

2258 Foothill Blvd
Suite 200
La Canada, CA 91011-1472
Phone (818) 248-8998

500 N Central Ave
Suite 740
Glendale, CA 91203-3953
Phone (818) 547-5400

Hospital & facility affiliations

  • MLHH, Inc Home health agency, Burbank, CA, CCN 559103
  • First American Home Health Inc Home health agency, Glendale, CA, CCN 559312
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A158879CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Family Medicine Current Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Sep 30, 2019 Accepting new patients
Optimum Medical Group North Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Nare Stepanyan MD Inc Family Medicine CurrentSince Jul 18, 2019 Accepting new patients
Pih Health Physicians CurrentSince Sep 30, 2019 Accepting new patients
Hanford Community Hospital Past Accepting new patients
Family Practice of Glendale a Medical Corporation Family Medicine PastSince Jan 1, 1990 Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

1030 S Glendale Ave
Ste 503
Glendale, CA 91205
Phone (818) 230-6522

500 N Central Ave
Ste 740
Glendale, CA 91203
Phone (424) 424-0402

2258 Foothill Blvd
Ste 200
La Canada Flintridge, CA 91011
Phone (818) 248-8998

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1003386558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 ST PAUL AVE # APP515",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900176006",
            "telephone_number": "954-675-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR STE 230",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054436",
            "telephone_number": "818-500-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANYAN",
        "first_name": "NARE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A158879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "A158879",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.