Individual provider Active NPI

Alissa Babaian

  • Physician Assistant
  • Glendale, CA
National Provider Identifier
1891407953
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA62311 Issued in CA
Practice address
1000 N Central Ave
Glendale, CA 91202-2957
Phone
(818) 662-7000
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA62311 CA Primary

Addresses

Primary practice location

1000 N Central Ave
Glendale, CA 91202-2957

Mailing address

7610 Marblehead LN
Parkland, FL 33067-2336
Phone (954) 892-1112

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
I20240229004179 CA Practitioner - Physician Assistant 4880039726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cognacare Neurologic IncGroup PAC ID 4981125531, 17 clinicians

Practice addresses (Care Compare)

1451 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4056
Phone (818) 265-2245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62311CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PA62311CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cognacare Neurologic, Inc CurrentSince Jul 29, 2025 Accepting new patients

Locations

1451 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 265-2245

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1891407953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 MARBLEHEAD LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330672336",
            "telephone_number": "954-892-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022957",
            "telephone_number": "818-662-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAIAN",
        "first_name": "ALISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.