Altitude Pulmonary and Critical Care Associates

Key facts

NPI

1346709458

Entity type

Organization (NPI type 2)

Primary specialty

Pulmonary Disease Physician 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

Organization subpart

No

Authorized official

Name

Arin Aboulian, MD NPI 1104038256

Title

President

Phone

(818) 247-6676

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 6

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

• Arin Aboulian, MD Pulmonary Disease Physician · Glendale, CA · NPI 1104038256
  Medicare reassignment Care Compare group NPD Authorized official CA · CRITICAL CARE MEDICINE
• Hripsime Manukyan, AGACNP-BC Acute Care Nurse Practitioner · Van Nuys, CA · NPI 1841956760
  Medicare reassignment Care Compare group NPD CA
• Julian Floyd Reese III, D.O. Pulmonary Disease Physician · Glendale, CA · NPI 1386093417
  Medicare reassignment Care Compare group NPD CA · PULMONARY DISEASE
• Shant Shirvanian, M.D. Pulmonary Disease Physician · Glendale, CA · NPI 1215213566
  Medicare reassignment Care Compare group NPD CA · CRITICAL CARE MEDICINE
• David Wilhoite Pulmonary Disease Physician · Glendale, CA · NPI 1073073797
  Medicare reassignment Care Compare group NPD CA · CRITICAL CARE MEDICINE
• Danielle Rucci, PHYSICIAN ASSISTANT Physician Assistant · Glendale, CA · NPI 1417680638
  Medicare reassignment Care Compare group CA

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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 Apr 27, 2021.

{
    "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": []
}

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