Glendale Foot & Ankle Podiatry Center, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3761 Issued in CA

Legal business name

GLENDALE FOOT & ANKLE PODIATRY CENTER, INC.

Practice address

110 S Adams St
Glendale, CA 91205-1312

Phone

(818) 242-4426

Fax

(818) 242-4409

NPI assigned

Sep 17, 2007

Last updated

Jan 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hermoz B Ayvazian, DPMNPI 1760564272

Title

Owner

Phone

(818) 242-4426

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hermoz B Ayvazian, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glendale, CA
  • NPI 1760564272
  Medicare reassignment Care Compare group NPD Authorized official
• Chrestin Elisha, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glendale, CA
  • NPI 1578188181

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• Darab Badkoubei, D.C.

  • Chiropractor
  • Burbank, CA
  • NPI 1104994854
  NPD (past)
• Armen Haroutiounian, D.C.

  • Chiropractor
  • Burbank, CA
  • NPI 1679600217
  NPD (past)
• Olga Vardanyan, C.N.S., M.D., PH.D

  • Nutritionist
  • Burbank, CA
  • NPI 1104228097
  NPD (past)

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1710173489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S ADAMS ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051312",
            "telephone_number": "818-242-4426",
            "fax_number": "818-242-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S ADAMS ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051312",
            "telephone_number": "818-242-4426",
            "fax_number": "818-242-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE FOOT & ANKLE PODIATRY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "AYVAZIAN",
        "authorized_official_first_name": "HERMOZ",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-242-4426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E37610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0856782",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480027586",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ60226Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.