Individual provider Active NPI

Nubar Aram Sethian, MD

  • General Practice Physician
  • Pasadena, CA
National Provider Identifier
1598837692
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A44867 Issued in CA
Practice address
1028 N Lake Ave
Ste 103
Pasadena, CA 91104
Phone
(626) 797-3378
Fax
(626) 797-4812
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A44867 CA
General Practice Physician 208D00000X A44867 CA Primary

Addresses

Primary practice location

1028 N Lake Ave
Ste 103
Pasadena, CA 91104

Mailing address

1028 N Lake Ave
Ste 103
Pasadena, CA 91104
Phone (626) 797-3378

Other identifiers 1

IdentifierTypeStateIssuer
00A44867MedicaidCA

Other names 1

  • Nubar A Sethian Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101124000643 CA Practitioner - General Practice 5294921680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1028 N Lake Ave
Suite 103
Pasadena, CA 91104-4570
Phone (626) 797-3378

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44867CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sethian MD, Inc Family Medicine CurrentSince Jul 25, 2010 Accepting new patients
Ahmc Garfield Medical Center LP PastSince Jul 25, 2010 Accepting new patients

Locations

1028 N Lake Ave
Ste 103
Pasadena, CA 91104
Phone (626) 797-3378

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1598837692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 N LAKE AVE",
            "address_2": "STE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91104",
            "telephone_number": "626-797-3378",
            "fax_number": "626-797-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N LAKE AVE",
            "address_2": "STE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91104",
            "telephone_number": "626-797-3378",
            "fax_number": "626-797-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHIAN",
        "first_name": "NUBAR",
        "middle_name": "ARAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A44867",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A44867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A44867",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NUBAR",
            "last_name": "SETHIAN",
            "middle_name": "A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.