Active NPI
Caresway Inc
- Family Nurse Practitioner
- Glendale, CA
National Provider Identifier
1922749795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CARESWAY INC
- Practice address
- 800 S Central Ave Ste 207
Glendale, CA 91204-4388 - Phone
- (747) 215-6998
- Fax
- (818) 697-9099
- NPI assigned
- Apr 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Suzanna Stepanian, N.P.
- Title
- President
- Phone
- (747) 215-6998
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
800 S Central Ave Ste 207
Glendale, CA 91204-4388
Mailing address
800 S Central Ave Ste 207
Glendale, CA 91204-4388
Phone (747) 215-6998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Caresway Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1467196923
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Anesthesiology Physician
- Moreno Valley, CA
- NPI 1629161385
-
- Neurology Physician
- Sun Valley, CA
- NPI 1427093236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1922749795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S CENTRAL AVE STE 207",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912044388",
"telephone_number": "747-215-6998",
"fax_number": "818-697-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S CENTRAL AVE STE 207",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912044388",
"telephone_number": "747-215-6998",
"fax_number": "818-697-9099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARESWAY INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-05",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A",
"authorized_official_last_name": "STEPANIAN",
"authorized_official_first_name": "SUZANNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "747-215-6998",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "N.P."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"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 Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.