Organization Active NPI

Harout R Balian M D a Professional Medical Corporation

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pasadena, CA
National Provider Identifier
1740325570
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
HAROUT R BALIAN M D A PROFESSIONAL MEDICAL CORPORATION
Practice address
333 N Hill Ave
Suite 101
Pasadena, CA 91106-1570
Phone
(626) 449-9911
Fax
(626) 449-9921
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Mrs. Patricia Anne Balian, RN
Title
Office Manager
Phone
(626) 449-9911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

333 N Hill Ave
Suite 101
Pasadena, CA 91106-1570

Mailing address

333 N Hill Ave
Suite 101
Pasadena, CA 91106-1570
Phone (626) 449-9911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050804001241 CA Part B Supplier - Clinic/Group Practice 7911936448 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

333 N Hill Ave
Ste 102
Pasadena, CA 91106
Phone (626) 449-9911

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1740325570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N HILL AVE",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061570",
            "telephone_number": "626-449-9911",
            "fax_number": "626-449-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N HILL AVE",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061570",
            "telephone_number": "626-449-9911",
            "fax_number": "626-449-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROUT R BALIAN M D A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "BALIAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-449-9911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2014; 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.