Organization Active NPI

Glendale Adventist Medical Center

Doing business as Adventist Health Glendale

  • General Acute Care Hospital
National Provider Identifier
1851747711
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
73633 Issued in CA
Legal business name
GLENDALE ADVENTIST MEDICAL CENTER
Doing business as
Adventist Health Glendale
Practice address
1509 Wilson Terrace
Glendale, CA 91206
UM
Phone
(818) 409-8000
NPI assigned
May 10, 2016
Last updated
Aug 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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) 409-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 73633 CA Primary

Addresses

Primary practice location

1509 Wilson Terrace
Glendale, CA 91206
UM

Mailing address

2437 McPherson PL
Los Angeles, CA 90032-3207

Other names 1

  • Adventist Health Glendale Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Satelitte Medication Dispensing9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1851747711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 MCPHERSON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323207"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "1509 WILSON TERRACE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91206",
            "telephone_number": "818-409-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE ADVENTIST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "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": "818-409-8000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "73633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health Glendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • 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.