Michael Novak, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

G8405 Issued in CA

Practice address

633 N Central Ave
Suite 305
Glendale, CA 91203-1801

Phone

(818) 244-7281

Fax

(818) 244-5912

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Michael Novak, M.D., Inc

  • Dermatology Physician
  • Glendale, CA
  • NPI 1093888182
  NPD Authorized official

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1063400703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N CENTRAL AVE",
            "address_2": "SUITE 305",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031801",
            "telephone_number": "818-244-7281",
            "fax_number": "818-244-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N CENTRAL AVE",
            "address_2": "SUITE 305",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031801",
            "telephone_number": "818-244-7281",
            "fax_number": "818-244-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G8405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G84050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ursula Noto
• Mahmoud Elsaied Nouh, M.D.
• Noune Pashinian MD a Professional Corporation (Verdugo Rheumatology Medical Group)
• Nourish Care Inc
• Nourish Health Care Incorporated
• Anahit Novshadyan
• Argineh Novshadyan
• Noyan Home Health Care Inc
• NP Hospice Care Inc
• NS Visiting Services Inc

• Procedural Dermatology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.