NPIMap

Organization Active NPI

Specialty Eye Care Medical Center, Inc.

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1932137601
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SPECIALTY EYE CARE MEDICAL CENTER, INC.
Practice address
409 N Central Ave
Glendale, CA 91203-2001
Phone
(818) 265-7777
Fax
(818) 241-8700
NPI assigned
Jun 29, 2006
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Dr. Karine Gabrielian, M.D.NPI 1740388982
Title
President
Phone
(818) 265-7777

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X CA Primary

Addresses

Primary practice location

409 N Central Ave
Glendale, CA 91203-2001

Mailing address

409 N Central Ave
Glendale, CA 91203-2001
Phone (818) 265-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031121000445 CA Part B Supplier - Clinic/Group Practice 8628981693 Receives reassigned benefits from 7 practitioners
Practice locations: Glendale, CA; Los Angeles, CA; Sherman Oaks, CA; West Hollywood, CA

National Provider Directory

National Provider Directory

Locations

409 N Central Ave
Glendale, CA 91203
Phone (818) 265-7755

5449 Hollywood Blvd
Ste B
Los Angeles, CA 90027
Phone (323) 871-1777

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1932137601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032001",
            "telephone_number": "818-265-7777",
            "fax_number": "818-241-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032001",
            "telephone_number": "818-265-7777",
            "fax_number": "818-241-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY EYE CARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "GABRIELIAN",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-265-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "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 Aug 13, 2010; 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.

Verify at the official NPI Registry.