Glenoaks Podiatry Group Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2979 Issued in CA

Legal business name

GLENOAKS PODIATRY GROUP INC

Practice address

844 West Glenoaks Blvd
Glendale, CA 91202-2134

Phone

(818) 500-1888

Fax

(818) 500-0695

NPI assigned

Jan 5, 2007

Last updated

Jan 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gulbenk Shirvanian Jr., DPM

Title

President

Phone

(818) 500-1888

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nubar Antranik Ornekian, DPM

  • Podiatrist
  • Arcadia, CA
  • NPI 1912091893
  Medicare reassignment NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1073660353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 WEST GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022134",
            "telephone_number": "818-500-1888",
            "fax_number": "818-500-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WEST GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022134",
            "telephone_number": "818-500-1888",
            "fax_number": "818-500-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENOAKS PODIATRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "SHIRVANIAN",
        "authorized_official_first_name": "GULBENK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-500-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2979",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE00160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenhaven Healthcare, LLC (GlenHaven Healthcare)
• Glenhills Home Health
• Glenoaks Home Health, Inc.
• Glenoaks Imaging Professionals Inc
• Glenoaks Medical Center, Inc.
• Glenoaks Urgent Care Medical Group, Inc.
• Glenview Home Health, Inc.
• Glenview Optical
• Glenwest Medical Center, Inc.
• Glenwood Home Health Inc

• Podiatrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.