INNOVATIVE MEDICAL CARE A MEDICAL CORPORATION
NPI 1245916048
Specialist in Glendale, CA

Q: What is Innovative Medical Care A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 26, 2023

3527 OCEAN VIEW BLVD, GLENDALE, CA 91208(747) 745-7771(818) 484-2430 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2023, Aug 21, 2023 (2 updates tracked since 2023).

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About Innovative Medical Care A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE MEDICAL CARE A MEDICAL CORPORATION (NPI 1245916048) is a healthcare organization registered as a specialist in Glendale, California and active in the NPI registry since June 2023. The organization lists Anna Manukyan, Authorized Official/owner, as its authorized official.

NPPES Registry Identity

NPI1245916048

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameINNOVATIVE MEDICAL CARE A MEDICAL CORPORATION

Location Address3527 OCEAN VIEW BLVDGlendale, CA 91208

Mailing Address3527 Ocean View BlvdGlendale, CA 91208-1211 · (323) 600-5213

Phone(747) 745-7771

Fax(818) 484-2430

Organization SubpartNo

Authorized OfficialAnna ManukyanAuthorized Official/owner · (323) 600-5213

Enumeration DateJune 26, 2023

Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration

NPPES CertifiedOctober 17, 2023

✔ NPI 1245916048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3527 OCEAN VIEW BLVD, Glendale, CA 91208

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Medical Care A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Innovative Medical Care A Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Anna Manukyan

Nurse Practitioner

NPI 1003445768

3527 OCEAN VIEW BLVD
Glendale, CA 91208

(747) 745-7771

✔ PECOS✔ Accepts MedicareSame address

Shomir Banerjee, MD

Family Practice

NPI 1932366200

1651 RESPONSE RD STE 350
Sacramento, CA 95815

(831) 687-8311

✔ PECOS351 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Medical Care A Medical Corporation's NPI number?

The NPI number for Innovative Medical Care A Medical Corporation is 1245916048. It was assigned to this organization in the NPPES registry on June 26, 2023.

Where is Innovative Medical Care A Medical Corporation located?

Innovative Medical Care A Medical Corporation is located at 3527 Ocean View Blvd, Glendale, CA 91208. The listed phone number is (747) 745-7771.

What is Innovative Medical Care A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Innovative Medical Care A Medical Corporation enrolled in Medicare?

Yes. Innovative Medical Care A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Medical Care A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Innovative Medical Care A Medical Corporation, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovative Medical Care A Medical Corporation was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.