NPIMap

Individual provider Active NPI

Elizabeth Lisa Chilian, PA-C

  • Medical Physician Assistant
  • Glendale, CA
National Provider Identifier
1417519588
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
345 Pioneer Dr Unit 1203
Glendale, CA 91203-2780
Phone
(818) 620-5692
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

345 Pioneer Dr Unit 1203
Glendale, CA 91203-2780

Mailing address

345 Pioneer Dr Unit 1203
Glendale, CA 91203-2780

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Glendale

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190830000448 CA Practitioner - Physician Assistant 9931437803 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pros Medical Current Accepting new patients
Pro Healing a Professional Medical Corporation Medical Current Accepting new patients
Mobile Physicians Medical Allied Group Inc PastSince Oct 1, 2021 Accepting new patients
Believe Home Health Care Inc PastSince Mar 6, 2021 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Believe Home Health Care IncBurbank, CA, CCN 559778 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer (50%)
Corporate Director (50%)
W-2 Managing Employee		 Mar 6, 2021
Mar 6, 2021
Mar 6, 2021
Mar 6, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1417519588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 PIONEER DR UNIT 1203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 PIONEER DR UNIT 1203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032780",
            "telephone_number": "818-620-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILIAN",
        "first_name": "ELIZABETH",
        "middle_name": "LISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Glendale",
            "affiliation": "N",
            "address_1": "345 Pioneer Dr Unit 1203",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912032780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.