Organization Active NPI

Altitude Pulmonary and Critical Care Associates

  • Pulmonary Disease Physician
  • Glendale, CA
National Provider Identifier
1346709458
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ALTITUDE PULMONARY AND CRITICAL CARE ASSOCIATES
Practice address
435 Arden Ave Ste 310
Glendale, CA 91203-4014
Phone
(818) 247-6676
Fax
(866) 887-3856
NPI assigned
Mar 18, 2019
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Arin Aboulian, MDNPI 1104038256
Title
President
Phone
(818) 247-6676

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

435 Arden Ave Ste 310
Glendale, CA 91203-4014

Mailing address

435 Arden Ave Ste 310
Glendale, CA 91203-4014
Phone (818) 247-6676

Other practice location 1

1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
Phone (818) 419-2597

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190709002512 CA Part B Supplier - Clinic/Group Practice 5597090811 Receives reassigned benefits from 6 practitioners
Practice locations: Glendale, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0556637Altitude Pulmonary and435 Arden Ave Ste 310, Glendale, CA 91203ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

435 Arden Ave
Ste 310
Glendale, CA 91203
Phone (818) 247-6676

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1346709458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034014",
            "telephone_number": "818-247-6676",
            "fax_number": "866-887-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034014",
            "telephone_number": "818-247-6676",
            "fax_number": "866-887-3856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Wilson Ter Ste 310",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064073",
            "country_code": "US",
            "telephone_number": "818-419-2597",
            "fax_number": "866-887-3856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTITUDE PULMONARY AND CRITICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2021-04-27",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "ABOULIAN",
        "authorized_official_first_name": "ARIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-247-6676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "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 Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.