David Bostanjian, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A97613 Issued in CA

Practice address

410 Arden Ave
100
Glendale, CA 91203-1127

Phone

(818) 500-8466

Fax

(818) 500-9562

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Globe Home Health Care, Inc. Home health agency, Glendale, CA, CCN 559661
• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• David Bostanjian MD Inc

  • General Practice Physician
  • Glendale, CA
  • NPI 1770726754
  Medicare reassignment NPD Authorized official
• United Sonomed Radiology Inc.

  • Diagnostic Radiology Physician
  • Tarzana, CA
  • NPI 1033845292
  NPD (past)

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

• Dignity Community Care

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation
• Globe Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1144812322
  Care Compare affiliation

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1639399280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ARDEN AVE",
            "address_2": "100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031127",
            "telephone_number": "818-500-8466",
            "fax_number": "818-500-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ARDEN AVE",
            "address_2": "100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031127",
            "telephone_number": "818-500-8466",
            "fax_number": "818-500-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTANJIAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A97613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN AND SEGEON CERT",
            "identifier": "A97613",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose Boozer, DO
• Brock Allen Borah, DC
• Charlotte Carolyn Michelle Bories
• Joseph Bornheimer Jr., M.D.
• Joanna Bosque, LMFT
• Megan Boswell, RBT
• Janis Bote
• Dan Cristian Botoaca, DDS
• Brittanie Cheyenne Bottoms
• Garo H. Bouldoukian, D.C

• General Practice Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.