Active NPI
SCCC a Medical Corporation
- Cardiovascular Disease Physician
- Glendale, CA
National Provider Identifier
1760679856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SCCC A MEDICAL CORPORATION
- Practice address
- 1510 S Central Ave
Suite 420
Glendale, CA 91204-2500 - Phone
- (818) 242-8816
- Fax
- (818) 242-0610
- NPI assigned
- Oct 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Aylin I. Hemelians, BS, MHA
- Title
- Health Administrator
- Phone
- (818) 242-8816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1510 S Central Ave
Suite 420
Glendale, CA 91204-2500
Mailing address
1510 S Central Ave
Suite 420
Glendale, CA 91204-2500
Phone (818) 242-8816
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0057810 | Medicaid | CA | |
| 1407972821 | Other | CA | NPI GOODWIN |
| 1366585309 | Other | CA | NPI WEN |
| 1851434898 | Other | CA | NPI O'CONNOR |
Other names 1
- Southern California Cardiovascular Consultants
National Provider Directory
National Provider DirectoryLocations
1510 S Central Ave
Ste 420
Glendale, CA 91204
Phone (818) 242-8816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280707200000",
"number": "1760679856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE",
"address_2": "SUITE 420",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042500",
"telephone_number": "818-242-8816",
"fax_number": "818-242-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE",
"address_2": "SUITE 420",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042500",
"telephone_number": "818-242-8816",
"fax_number": "818-242-0610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCCC A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2010-08-02",
"status": "A",
"authorized_official_last_name": "HEMELIANS",
"authorized_official_first_name": "AYLIN",
"authorized_official_middle_name": "I.",
"authorized_official_title_or_position": "HEALTH ADMINISTRATOR",
"authorized_official_telephone_number": "818-242-8816",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BS, MHA"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0057810",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GOODWIN",
"identifier": "1407972821",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI WEN",
"identifier": "1366585309",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI O'CONNOR",
"identifier": "1851434898",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern California Cardiovascular Consultants",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.