| Comprehensive Community Health Centers Inc | |
|
801 S. Chevy Chase Drive 250 Glendale CA 91205 | |
| (818) 265-2264 | |
| (818) 265-2263 |
| Full Name | Comprehensive Community Health Centers Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 801 S. Chevy Chase Drive, Glendale, California |
| Authorized Official Name and Position | Flora Poladyan (COO) |
| Authorized Official Contact | 8186306106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Community Health Centers Inc 801 S Chevy Chase Dr 20 Glendale CA 91205-4431 Ph: (818) 265-2264 | Comprehensive Community Health Centers Inc 801 S. Chevy Chase Drive 250 Glendale CA 91205 Ph: (818) 265-2264 |
| NPI Number | 1356362743 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Medicare PECOS PAC ID | 9638082456 |
|---|---|
| Medicare Enrollment ID | O20031107000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356362743 | NPI | - | NPPES |
| FHC71165F | Medicaid | CA |
| Provider Name | Oganes Paronian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528048899 PECOS PAC ID: 8325951551 Enrollment ID: I20031112000466 |
| Provider Name | Arthur Manoukian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811948540 PECOS PAC ID: 0042116584 Enrollment ID: I20031208000470 |
| Provider Name | Ara Airapetian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578543443 PECOS PAC ID: 6800879099 Enrollment ID: I20040609000792 |
| Provider Name | Sang J Pak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750313557 PECOS PAC ID: 1557345717 Enrollment ID: I20040616000636 |
| Provider Name | Ebrahim Sajedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154342269 PECOS PAC ID: 2365492402 Enrollment ID: I20050126001184 |
| Provider Name | Makabis Yousefpour |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417983222 PECOS PAC ID: 2264479070 Enrollment ID: I20050413000750 |
| Provider Name | Cyrus R Lavian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548283526 PECOS PAC ID: 1557389228 Enrollment ID: I20051110000862 |
| Provider Name | Muhammad R Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578515896 PECOS PAC ID: 5991892325 Enrollment ID: I20071101000662 |
| Provider Name | Mahkameh Yousefpour |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881868065 PECOS PAC ID: 5496816274 Enrollment ID: I20081211000682 |
| Provider Name | Bessy M Martirosyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790849883 PECOS PAC ID: 2668657735 Enrollment ID: I20110505000210 |
| Provider Name | Avni Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417078999 PECOS PAC ID: 9537248646 Enrollment ID: I20111101000086 |
| Provider Name | Wen-shi Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508004193 PECOS PAC ID: 5698915478 Enrollment ID: I20130628000549 |
| Provider Name | Adriana Arredondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174894208 PECOS PAC ID: 8123268786 Enrollment ID: I20130703000214 |
| Provider Name | Marineh Baghoumian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972929438 PECOS PAC ID: 5294950796 Enrollment ID: I20140625001021 |
| Provider Name | Mahin Ghanevati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881915627 PECOS PAC ID: 7416279724 Enrollment ID: I20141121002345 |
| Provider Name | Janet J Briggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225323165 PECOS PAC ID: 2062735871 Enrollment ID: I20150101000017 |
| Provider Name | Rosa E Mazariego |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861641193 PECOS PAC ID: 4284953118 Enrollment ID: I20150427002581 |
| Provider Name | Mark Folmsbee |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427393123 PECOS PAC ID: 6800184557 Enrollment ID: I20161012000646 |
| Provider Name | Ernesto Fausto G Quitalig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306392873 PECOS PAC ID: 1850679911 Enrollment ID: I20161025002396 |
| Provider Name | Anthonia A Sulaiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154724284 PECOS PAC ID: 9032497912 Enrollment ID: I20161027001192 |
| Provider Name | Elizabeth Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740726850 PECOS PAC ID: 3274809686 Enrollment ID: I20171030001038 |
| Provider Name | Yvette M David Paita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992219232 PECOS PAC ID: 1557605037 Enrollment ID: I20181211000917 |
| Provider Name | Tom John Rocco M Deungria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942776117 PECOS PAC ID: 5395086037 Enrollment ID: I20190408001163 |
| Provider Name | Vivian Sauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437378361 PECOS PAC ID: 0749272326 Enrollment ID: I20190628001101 |
| Provider Name | Van Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043867062 PECOS PAC ID: 9032543178 Enrollment ID: I20191226001969 |
| Provider Name | Knarik Oganesyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477191070 PECOS PAC ID: 7618166810 Enrollment ID: I20200226000380 |
| Provider Name | Christine B Maroney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205467065 PECOS PAC ID: 8123430162 Enrollment ID: I20201215002222 |
| Provider Name | Marie Sinaii |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821557380 PECOS PAC ID: 5294159307 Enrollment ID: I20210901003513 |
| Provider Name | Mary Ann M Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033865704 PECOS PAC ID: 0143607788 Enrollment ID: I20220519001793 |
| Provider Name | Anna Aghabekyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437896446 PECOS PAC ID: 7810352044 Enrollment ID: I20230424000309 |
| Provider Name | David E Beal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508536616 PECOS PAC ID: 1254796485 Enrollment ID: I20230424000409 |
| Provider Name | Young Il Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811609100 PECOS PAC ID: 6103281852 Enrollment ID: I20230502001464 |
| Provider Name | Veronica Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710288964 PECOS PAC ID: 3375903420 Enrollment ID: I20230720004119 |
| Provider Name | Melanie Arakelian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528706314 PECOS PAC ID: 0143682401 Enrollment ID: I20230817003601 |
| Provider Name | Robert Y Uyeda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073557294 PECOS PAC ID: 0143252387 Enrollment ID: I20240313002750 |
| Provider Name | Emmanuel Ndubuisi Njoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467021535 PECOS PAC ID: 8325484124 Enrollment ID: I20240315000519 |
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