ATHENACARE MEDICAL GROUP INC
NPI 1538025085
General Practice in Glendale, CA
About Athenacare Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATHENACARE MEDICAL GROUP INC (NPI 1538025085) is a healthcare organization registered as a general practice in Glendale, California and active in the NPI registry since December 2025. The organization lists Tamara Petrosyan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Athenacare Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Athenacare Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Athenacare Medical Group Inc's NPI number?
The NPI number for Athenacare Medical Group Inc is 1538025085. It was assigned to this organization in the NPPES registry on December 29, 2025.
Where is Athenacare Medical Group Inc located?
Athenacare Medical Group Inc is located at 3857 Foothill Blvd Ste 1C, Glendale, CA 91214. The listed phone number is (818) 858-3087.
What is Athenacare Medical Group Inc's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Athenacare Medical Group Inc enrolled in Medicare?
Yes. Athenacare Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Athenacare Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Athenacare Medical Group Inc, in General 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Athenacare Medical Group Inc was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Athenacare Medical Group Inc · NPI 1538025085
General Practice organization in Glendale, California. Organization record, active in the CMS NPPES registry since December 29, 2025.
## Identity
- **NPI:** 1538025085 (Entity type: Organization)
- **Enumerated:** December 29, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Tamara Petrosyan, CEO
## Practice location
- **Address:** 3857 FOOTHILL BLVD STE 1C, Glendale, CA 91214-1653
- **Phone:** (818) 858-3087
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1538025085) · Data from the CMS NPPES public registry.