Active NPI
Susan L Chobanian, M.D.
- Otolaryngology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G472240
- Practice address
- 1510 S Central Ave
100
Glendale, CA 91204-2500 - Phone
- (818) 240-1820
- Fax
- (818) 240-1021
- NPI assigned
- Nov 28, 2007
- Last updated
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G472240 | CA | Primary |
Addresses
Primary practice location
1510 S Central Ave
100
Glendale, CA 91204-2500
Mailing address
1510 S Central Ave
100
Glendale, CA 91204-2500
Phone (818) 240-1820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Medical College of Wisconsin, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
330 N Brand Blvd
Suite 190
Glendale, CA 91203-4425
Phone (818) 240-1820
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G472240 | CA | MD | Otolaryngology Physician |
| 47224 | CA | MD | Massage Therapist |
Interoperability endpoints
- susanchobanian.137.315@securemailmdscloud.mdsynergy.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Legal Medicine
- Glendale, CA
- NPI 1982077269
-
- Specialist
- Glendale, CA
- NPI 1922429182
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Glendale Memorial Hospital and Health Center
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1144402405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE",
"address_2": "100",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042500",
"telephone_number": "818-240-1820",
"fax_number": "818-240-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE",
"address_2": "100",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042500",
"telephone_number": "818-240-1820",
"fax_number": "818-240-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOBANIAN",
"first_name": "SUSAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G472240",
"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 Nov 28, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.