Organization Active NPI

Sethian MD, Inc

  • General Practice Physician
  • Pasadena, CA
National Provider Identifier
1609184142
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SETHIAN MD, INC
Doing business as
Nubar Sethian, M.D.
Practice address
1028 N Lake Ave Ste 103
Pasadena, CA 91104-4570
Phone
(626) 797-3378
Fax
(626) 797-4812
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Dr. Nubar Aram Sethian, M.D.NPI 1598837692
Title
Presidant
Phone
(626) 797-3378

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X CA
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1028 N Lake Ave Ste 103
Pasadena, CA 91104-4570

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00A44867MedicaidCA

Other names 1

  • Nubar Sethian, M.D. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101124000623 CA Part B Supplier - Clinic/Group Practice 4385830777 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0556026Nubar Sethian MD1028 N Lake Ave #103, Pasadena, CA 91104Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1609184142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 N LAKE AVE STE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044570",
            "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 STE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044570",
            "telephone_number": "626-797-3378",
            "fax_number": "626-797-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETHIAN MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "SETHIAN",
        "authorized_official_first_name": "NUBAR",
        "authorized_official_middle_name": "ARAM",
        "authorized_official_title_or_position": "PRESIDANT",
        "authorized_official_telephone_number": "626-797-3378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A44867",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nubar Sethian, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.