Individual provider Active NPI

Emily Jabourian

  • Physician Assistant
  • Glendale, CA
National Provider Identifier
1720799521
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
214 N Central Ave
Glendale, CA 91203-3556
Phone
(818) 246-8000
NPI assigned
Dec 13, 2022
Last updated
Dec 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA Primary

Addresses

Primary practice location

214 N Central Ave
Glendale, CA 91203-3556

Mailing address

214 N Central Ave
Glendale, CA 91203-3556
Phone (818) 246-8000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912001613 CA Practitioner - Physician Assistant 5294238440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Health Group a Medical CorporationGroup PAC ID 1951603224, 17 clinicians

Practice addresses (Care Compare)

3808 W Riverside Dr
Suite 120
Burbank, CA 91505-4339
Phone (818) 246-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
66545CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: emily.jabourian.1@17568.direct.athenahealth.com
  • Direct secure messaging: emily.jabourian.1@25159.direct.athenahealth.com
  • Direct secure messaging: emily.jabourian.1@31962.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1720799521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033556",
            "telephone_number": "818-246-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033556",
            "telephone_number": "818-246-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABOURIAN",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.