Individual provider Active NPI

Lidia Zargari, PA-C

  • Medical Physician Assistant
  • Glendale, CA
National Provider Identifier
1790142917
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA53138 Issued in CA
Practice address
710 S Central Ave Ste 350
Glendale, CA 91204-4647
Phone
(818) 616-7557
NPI assigned
Jan 19, 2016
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA53138 CA Primary

Addresses

Primary practice location

710 S Central Ave Ste 350
Glendale, CA 91204-4647

Mailing address

519 E Broadway
Glendale, CA 91205-1110
Phone (818) 409-3020

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
I20160609000732 CA Practitioner - Physician Assistant 0547550162 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53138CAMDMarriage & Family Therapist
PA53138CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Jan 3, 2017 Accepting new patients
All for Health Health for All Inc CurrentSince Jan 3, 2017 Accepting new patients
Burbank Occupational Health Center Inc CurrentSince Jan 24, 2026 Accepting new patients

Locations

3413 W Pacific Ave
Ste 102
Burbank, CA 91505
Phone (818) 462-1279

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

710 S Central Ave
Ste 350
Glendale, CA 91204
Phone (818) 616-7557

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Comcare Home Health Agency IncGlendale, CA, CCN 757077 Home health agency 5% Or Greater Indirect Ownership Interest (33.33%)
Corporate Officer (33.33%)
Corporate Director (33.33%)
W-2 Managing Employee (33.33%)
Nov 13, 2023
Nov 13, 2023
Nov 13, 2023
Nov 13, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1790142917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051110",
            "telephone_number": "818-409-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S CENTRAL AVE STE 350",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044647",
            "telephone_number": "818-616-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARGARI",
        "first_name": "LIDIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA53138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.