Individual provider Active NPI

Meher Babian

  • General Practice Physician
  • Glendale, CA
National Provider Identifier
1033105481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
B4052901 Issued in CA
Practice address
1111 S Glendale Ave
Ste 206
Glendale, CA 91205-3263
Phone
(818) 547-0884
Fax
(818) 547-9360
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X B4052901 CA Primary

Addresses

Primary practice location

1111 S Glendale Ave
Ste 206
Glendale, CA 91205-3263

Mailing address

1111 S Glendale Ave
Ste 206
Glendale, CA 91205-3263
Phone (818) 547-0884

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
B4052901CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033105481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S GLENDALE AVE",
            "address_2": "STE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053263",
            "telephone_number": "818-547-0884",
            "fax_number": "818-547-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S GLENDALE AVE",
            "address_2": "STE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053263",
            "telephone_number": "818-547-0884",
            "fax_number": "818-547-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABIAN",
        "first_name": "MEHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "B4052901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.