Michael Bublik MD PC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

A112615 Issued in CA

Legal business name

MICHAEL BUBLIK MD PC

Practice address

800 S Central Ave Ste 101B
Glendale, CA 91204-4375

Phone

(818) 649-1433

Fax

(818) 649-1436

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael Bublik, M.D.NPI 1679784664

Title

President

Phone

(310) 488-3725

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIBACD

Practitioners 3

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

• Michael Bublik, M.D.

  • Facial Plastic Surgery Physician
  • Glendale, CA
  • NPI 1679784664
  Medicare reassignment Care Compare group Authorized official
• Tsung-Yen Hsieh, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Los Angeles, CA
  • NPI 1548505100
  Medicare reassignment Care Compare group NPD
• Vahe Arabian, PAC

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1295799021
  Medicare reassignment

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1467749903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 101B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044375",
            "telephone_number": "818-649-1433",
            "fax_number": "818-649-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 101B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044375",
            "telephone_number": "818-649-1433",
            "fax_number": "818-649-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BUBLIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "BUBLIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-488-3725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A112615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mhcdi, LLC
• Diana Mherian
• Rachel Mi
• Michael a. Stark M.D. a Medical Corporation
• Michael Andrew Roberts, M.D., Inc., a Professional Corporation
• Michael D. Mello, M.D., a Professional Corporation
• Michael Ednie MD XRH of Ca PC
• Michael Novak, M.D., Inc
• Michael S. Cann, M.D., Inc.
• Stephanie Aida Michaelian

• Facial Plastic Surgery Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.

Verify at the official NPI Registry.