Individual provider Active NPI

John Donald Halebian, DPM CWS

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
National Provider Identifier
1023091808
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2819 Issued in CA
Practice address
531 N Beachwood Dr
Burbank, CA 91506-1801
Phone
(818) 508-0177
Fax
(818) 566-1829
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E2819 CA Primary

Addresses

Primary practice location

531 N Beachwood Dr
Burbank, CA 91506-1801

Mailing address

531 N Beachwood Dr
Burbank, CA 91506-1801
Phone (818) 508-0177

Other identifiers 1

IdentifierTypeStateIssuer
000E28190MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2819CAMDSchool Psychologist
E2819CAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1023091808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 N BEACHWOOD DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061801",
            "telephone_number": "818-508-0177",
            "fax_number": "818-566-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N BEACHWOOD DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061801",
            "telephone_number": "818-508-0177",
            "fax_number": "818-566-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEBIAN",
        "first_name": "JOHN",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DPM CWS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E28190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.