Michael Novak, M.D., Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MICHAEL NOVAK, M.D., INC

Practice address

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

Phone

(818) 244-7281

Fax

(818) 244-5912

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Novak, M.D.NPI 1063400703

Title

President

Phone

(818) 244-7281

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Michael Novak, M.D.

  • Procedural Dermatology Physician
  • Glendale, CA
  • NPI 1063400703
  NPD Authorized official
• Thomas T. Su, M.D., PH.D.

  • Dermatology Physician
  • Glendale, CA
  • NPI 1346417276
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093888182",
    "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": {
        "organization_name": "MICHAEL NOVAK, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-244-7281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G84050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael a. Stark M.D. a Medical Corporation
• Michael Andrew Roberts, M.D., Inc., a Professional Corporation
• Michael Bublik MD PC
• Michael D. Mello, M.D., a Professional Corporation
• Michael Ednie MD XRH of Ca PC
• Michael S. Cann, M.D., Inc.
• Stephanie Aida Michaelian
• Denise Michele, D.C.
• Amy Micheletti
• Brian Michels

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.