Maxim Moradian, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

A118692 Issued in CA

Practice address

800 S Central Ave Ste 301
Glendale, CA 91204-4388

Phone

(818) 338-6860

Fax

(888) 425-9079

NPI assigned

Feb 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Max Moradian Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management

Education

Pennsylvania State University College of Medicine, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

California Sports and Spine Institute PCGroup PAC ID 8123394699, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Optima Health Care, Inc Home health agency, La Canada Flintridge, CA, CCN 059005
• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maximmoradian@rog.allscriptsdirect.net

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

• California Sports and Spine Institute, PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Glendale, CA
  • NPI 1801327606
  Medicare reassignment Care Compare group NPD Authorized official
• Intuitive Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Glendale, CA
  • NPI 1215668546
  NPD (past) Authorized official
• Usc Arcadia Hospital

  • Rehabilitation Hospital Unit
  • Arcadia, CA
  • NPI 1164410593

  Interventional Pain Medicine

  NPD (past)
• York Hospital

  • Psychiatric Hospital Unit
  • York, PA
  • NPI 1578587986

  Interventional Pain Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glendale Adventist Medical Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Optima Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1841415585
  Care Compare affiliation

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1497924864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071412",
            "telephone_number": "626-797-2002",
            "fax_number": "626-798-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044388",
            "telephone_number": "818-338-6860",
            "fax_number": "888-425-9079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 N 5th Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910063712",
            "country_code": "US",
            "telephone_number": "818-338-6860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2627 E Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911071412",
            "country_code": "US",
            "telephone_number": "626-797-2002",
            "fax_number": "626-798-0567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Central Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912042563",
            "country_code": "US",
            "telephone_number": "818-338-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORADIAN",
        "first_name": "MAXIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2021-04-13",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD442485",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "MD202793",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A118692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006289",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAX",
            "last_name": "MORADIAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hermineh K Moradi, O.D.
• Mahsa Moradi, LMFT
• Melani Moradi
• Alfret Moradian, M.D
• Martin Moradian, D.P.M.
• Stephan Moradians, D.D.S.
• Juliane Morado, PTA
• Andrea Morales
• Juan Carlos Morales
• Kristal Morales

• Interventional Pain Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.