Organization Active NPI

Pure Mobile Health Inc.

  • Clinic/Center
  • Glendale, CA
National Provider Identifier
1194606673
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PURE MOBILE HEALTH INC.
Practice address
1800 S Brand Blvd Ste 119
Glendale, CA 91204-3551
Phone
(818) 913-5470
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Elvis Shahbazyan
Title
Ceo
Phone
(818) 913-5470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1800 S Brand Blvd Ste 119
Glendale, CA 91204-3551

Mailing address

1800 S Brand Blvd Ste 119
Glendale, CA 91204-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251119004510 CA Part B Supplier - Clinic/Group Practice 5193217933 Receives reassigned benefits from 5 practitioners
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

7321 Atoll Ave
#113
North Hollywood, CA 91605

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1194606673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S BRAND BLVD STE 119",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S BRAND BLVD STE 119",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043551",
            "telephone_number": "818-913-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MOBILE HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "SHAHBAZYAN",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-913-5470"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Sep 10, 2025; 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.