Individual provider Active NPI

Narineh Baboomian

  • Clinical Social Worker
  • Glendale, CA
National Provider Identifier
1790418291
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW124169 Issued in CA
Practice address
1145 E Wilson Ave
Glendale, CA 91206-4538
Phone
(818) 274-1945
NPI assigned
Jul 3, 2022
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW124169 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

1145 E Wilson Ave
Glendale, CA 91206-4538

Mailing address

1145 E Wilson Ave
Glendale, CA 91206-4538
Phone (818) 274-1945

Other practice location 1

1520 N Raymond Ave Bldg 2-7
Pasadena, CA 91103-1819
Phone (626) 396-5920

Other practice location 2

2550 E Foothill Blvd Fl 2
Pasadena, CA 91107-3406
Phone (626) 744-5230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW124169CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Unified School District CurrentSince Sep 1, 2023 Accepting new patients

Locations

1520 N Raymond Ave
Bldg 27
Pasadena, CA 91103
Phone (626) 396-5920

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.

NPI Registry JSON

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

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1790418291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E WILSON AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064538",
            "telephone_number": "818-274-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E WILSON AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064538",
            "telephone_number": "818-274-1945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 N Raymond Ave Bldg 2-7",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911031819",
            "country_code": "US",
            "telephone_number": "626-396-5920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 E Foothill Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073406",
            "country_code": "US",
            "telephone_number": "626-744-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABOOMIAN",
        "first_name": "NARINEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-03",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW124169",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.