Glendale Back and Pain Center

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

GLENDALE BACK AND PAIN CENTER

Practice address

710 S. Central Ave
Suite 240
Glendale, CA 91204

Phone

(844) 566-7246

Fax

(844) 637-8332

NPI assigned

Sep 13, 2017

Last updated

Sep 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sassan Keshavarzi, MDNPI 1972754927

Title

Medical Director

Phone

(844) 637-8363

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sassan Keshavarzi, M.D.

  • Neurological Surgery Physician
  • New Orleans, LA
  • NPI 1972754927
  Authorized official Same address or phone
• Knarik Oganesyan, FNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Burbank, CA
  • NPI 1477191070
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1295254050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N. GLENDALE AVE",
            "address_2": "SUITE B-504",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91206",
            "telephone_number": "844-566-7246",
            "fax_number": "844-637-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S. CENTRAL AVE",
            "address_2": "SUITE 240",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "844-566-7246",
            "fax_number": "844-637-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE BACK AND PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "KESHAVARZI",
        "authorized_official_first_name": "SASSAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "844-637-8363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glendale Adventist Medical Center (Adventist Health Glendale)
• Glendale Adventist Medicat Center
• Glendale Adventist Occupational Medicine Center (Adventist Health Glendale)
• Glendale Anesthesia Consultants Medical Group
• Glendale Anesthesia Specialists a Medical Corporation
• Glendale Care Home Health
• Glendale City Optometry, Inc.
• Glendale Community Care Pharmacy Inc
• Glendale Community Family Practice Inc.
• Glendale Community Medical Group Inc

• Neurological Surgery Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.