Embrace Family Medicine Corporation

Key facts

NPI

1205439320

Entity type

Organization (NPI type 2)

Primary specialty

Family Medicine Physician 207Q00000X

Legal business name

EMBRACE FAMILY MEDICINE CORPORATION

Practice address

501 W Glenoaks Blvd Ste 205
Glendale, CA 91202-4042

Phone

(818) 549-9630

NPI assigned

Nov 19, 2020

Organization subpart

No

Authorized official

Name

Dr. Harut Madatovian, DO NPI 1225433006

Title

Physician

Phone

(818) 203-1797

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Harut Madatovian, DO Sports Medicine (Family Medicine) Physician · Pasadena, CA · NPI 1225433006
  Medicare reassignment NPD Authorized official CA

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 19, 2020.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1205439320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W GLENOAKS BLVD STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W GLENOAKS BLVD STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024042",
            "telephone_number": "818-549-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE FAMILY MEDICINE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "MADATOVIAN",
        "authorized_official_first_name": "HARUT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-203-1797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Glendale, CA · Family Medicine Physician in California