Glendale Adventist Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

930000059 Issued in CA

Legal business name

GLENDALE ADVENTIST MEDICAL CENTER

Doing business as

Adventist Health Glendale

Practice address

1509 Wilson Ter
Glendale, CA 91206-4007

Phone

(818) 409-8000

Fax

(818) 546-5600

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

Kevin Roberts

Title

Ceo/President

Phone

(818) 409-8289

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adventist Health Glendale Doing business as

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1841289923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 WILSON TER",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064007",
            "telephone_number": "818-409-8000",
            "fax_number": "818-546-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 WILSON TER",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064007",
            "telephone_number": "818-409-8000",
            "fax_number": "818-546-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE ADVENTIST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-409-8289"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "930000059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07645F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health Glendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glendale Adventist Medical Center (Adventist Health Glendale)
• Glendale Adventist Medical Center
• Glendale Adventist Medical Center (Satellite Medication Dispensing)
• Glendale Adventist Medical Center (Adventist Health Glendale)
• Glendale Adventist Medical Center (Adventist Health Glendale)
• Glendale Adventist Medicat Center
• Glendale Adventist Occupational Medicine Center (Adventist Health Glendale)
• Glendale Anesthesia Consultants Medical Group
• Glendale Anesthesia Specialists a Medical Corporation
• Glendale Back and Pain Center

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.