Active NPI
Healthy Way Medical Center
- Clinic/Center
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 20A13859
- Legal business name
- HEALTHY WAY MEDICAL CENTER
- Practice address
- 815 E Colorado St Ste 200
Glendale, CA 91205-1298 - Phone
- (818) 484-5434
- NPI assigned
- Aug 1, 2016
- Last updated
- Nov 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Violetta Mailyan, D.O.
- Title
- Ceo/Owner
- Phone
- (818) 484-5434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 20A13859 | CA | Primary |
Addresses
Primary practice location
815 E Colorado St Ste 200
Glendale, CA 91205-1298
Mailing address
PO Box 1150
Glendale, CA 91209-1150
Phone (818) 484-5434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Healthy Way Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Glendale, CA
- NPI 1518326958
Locations
628 E Colorado St
Glendale, CA 91205
Phone (818) 484-5434
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1679959845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479772800000",
"number": "1306399878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1150",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912091150",
"telephone_number": "818-484-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 E COLORADO ST STE 200",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051298",
"telephone_number": "818-484-5434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY WAY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-01",
"last_updated": "2016-11-22",
"status": "A",
"authorized_official_last_name": "MAILYAN",
"authorized_official_first_name": "VIOLETTA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "818-484-5434",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "20A13859",
"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 22, 2016; 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.