Organization Active NPI

Universal Primary Care

  • Pediatrics Physician
  • Glendale, CA
National Provider Identifier
1255396248
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
UNIVERSAL PRIMARY CARE
Practice address
801 S Chevy Chase Dr
200
Glendale, CA 91205-4431
Phone
(818) 637-7980
Fax
(818) 637-7985
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Mrs. Flora Poladyan
Title
Coo
Phone
(818) 265-2210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

801 S Chevy Chase Dr
200
Glendale, CA 91205-4431

Mailing address

801 S Chevy Chase Dr
200
Glendale, CA 91205-4431
Phone (818) 637-7980

Other identifiers 1

IdentifierTypeStateIssuer
GR0059750MedicaidCA

Other names 1

  • UPC PEDIATRICS Other name

National Provider Directory

National Provider Directory

Locations

801 S Chevy Chase Dr
Ste 200
Glendale, CA 91205
Phone (818) 637-7980

3133 Glendale Blvd
Los Angeles, CA 90039
Phone (323) 913-9881

Practitioners & affiliated clinicians

Practitioners 4

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": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1255396248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "address_2": "200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-637-7980",
            "fax_number": "818-637-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "address_2": "200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-637-7980",
            "fax_number": "818-637-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "POLADYAN",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "818-265-2210",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0059750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPC PEDIATRICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 8, 2012; 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.