Organization Active NPI

Universal Primary Care

  • Endocrinology, Diabetes & Metabolism Physician
  • Glendale, CA
National Provider Identifier
1598720641
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
UNIVERSAL PRIMARY CARE
Practice address
801 South Chevy Chase Dr
#102
Glendale, CA 91205
Phone
(818) 226-5224
Fax
(818) 241-7708
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Mrs. Flora Poladyan
Title
Coo
Phone
(818) 265-2210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X CA Primary

Addresses

Primary practice location

801 South Chevy Chase Dr
#102
Glendale, CA 91205

Mailing address

801 S Chevy Chase Dr
102
Glendale, CA 91205-4431
Phone (818) 226-5224

Other identifiers 1

IdentifierTypeStateIssuer
GR0059756MedicaidCA

Other names 1

  • Endocrinology Office Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1598720641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "address_2": "102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-226-5224",
            "fax_number": "818-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SOUTH CHEVY CHASE DR",
            "address_2": "#102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-226-5224",
            "fax_number": "818-241-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "POLADYAN",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "818-265-2210",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0059756",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinology Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.