Organization Active NPI

Center for Breast Care, Inc.

  • Surgery Physician
  • Glendale, CA
National Provider Identifier
1124295977
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G8507 Issued in CA
Legal business name
CENTER FOR BREAST CARE, INC.
Practice address
222 W Eulalia St Ste 315
Glendale, CA 91204-2852
Phone
(818) 243-5640
Fax
(818) 243-6381
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Deanna J Attai, MD
Title
President
Phone
(818) 243-5640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G8507 CA Primary

Addresses

Primary practice location

222 W Eulalia St Ste 315
Glendale, CA 91204-2852

Mailing address

222 W Eulalia St Ste 315
Glendale, CA 91204-2852
Phone (818) 243-5640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1124295977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST STE 315",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042852",
            "telephone_number": "818-243-5640",
            "fax_number": "818-243-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST STE 315",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042852",
            "telephone_number": "818-243-5640",
            "fax_number": "818-243-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BREAST CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "ATTAI",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-243-5640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G8507",
            "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 May 12, 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.