Organization Active NPI

Nare Stepanyan MD Inc

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1508498130
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NARE STEPANYAN MD INC
Practice address
1030 S Glendale Ave Ste 503
Glendale, CA 91205-2820
Phone
(818) 547-3380
NPI assigned
Feb 11, 2020
Last updated
Feb 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Nare Stepanyan, MDNPI 1003386558
Title
President
Phone
(954) 675-3257

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1030 S Glendale Ave Ste 503
Glendale, CA 91205-2820

Mailing address

1030 S Glendale Ave Ste 503
Glendale, CA 91205-2820
Phone (818) 547-3380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200501000611 CA Part B Supplier - Clinic/Group Practice 8426488602 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

1030 S Glendale Ave
Ste 503
Glendale, CA 91205
Phone (818) 230-6522

Practitioners & affiliated clinicians

Practitioners 2

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": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1508498130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 503",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052820",
            "telephone_number": "818-547-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 503",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052820",
            "telephone_number": "818-547-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARE STEPANYAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "STEPANYAN",
        "authorized_official_first_name": "NARE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-675-3257",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "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 Feb 11, 2020; 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.