Active NPI
Universal Primary Care
- Endocrinology, Diabetes & Metabolism Physician
- Glendale, CA
National Provider Identifier
1598720641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0059756 | Medicaid | CA |
Other names 1
- Endocrinology Office
National Provider Directory
National Provider DirectoryNPI 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
- Universal Mobile Imaging
- Universal Multi Modality Diagnostic Medical Center, Apc
- Universal Perfect Home Health Care
- Universal Primary Care
- Universal Primary Care
- University of Southern California
- Unlimited Care Hospice, Inc.
- Unlimited Home Health Services
- Samantha Marie Urena, 1041C0700X
- Lyle Patrick Ureta
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.