1. Home
  2. Directory
  3. California
  4. Glendale
  5. Internal Medicine
  6. NPI Profile

FIDEM HEALTH INC.
NPI 1902552912
Internal Medicine in Glendale, CA

Active since February 28, 2022
1342 SAN LUIS REY DR, GLENDALE, CA 91208(323) 253-5821 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2024, Feb 28, 2022 (2 updates tracked since 2022).

About Fidem Health Inc. NPPES

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

FIDEM HEALTH INC. (NPI 1902552912) is a healthcare organization registered as an internal medicine in Glendale, California and active in the NPI registry since February 2022. The organization lists Manvel Kondradzhyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902552912
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFIDEM HEALTH INC
Location Address1342 SAN LUIS REY DRGlendale, CA 91208-1947
Mailing Address1342 San Luis Rey DrGlendale, CA 91208-1947 · (323) 253-5821
Phone(323) 253-5821
Organization SubpartNo
Authorized OfficialManvel KondradzhyanCeo · (323) 253-5821
Enumeration DateFebruary 28, 2022
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1902552912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1342 SAN LUIS REY DR, Glendale, CA 91208
Open in Google Maps ↗

Other Names 1

Doing Business AsFidem Health Inc.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Fidem Health Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fidem Health Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Manvel Kondradzhyan, MD
Internal Medicine
NPI 1568988590
1720 EAST CESAR CHAVEZ AVENUE
Los Angeles, CA 90033
(323) 987-1362
✔ PECOS✔ Accepts Medicare9.1 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 Fidem Health Inc's NPI number?

The NPI number for Fidem Health Inc is 1902552912. It was assigned to this organization in the NPPES registry on February 28, 2022. The provider is doing business as Fidem Health Inc..

Where is Fidem Health Inc located?

Fidem Health Inc is located at 1342 San Luis Rey Dr, Glendale, CA 91208. The listed phone number is (323) 253-5821.

What is Fidem Health Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fidem Health Inc enrolled in Medicare?

Yes. Fidem Health Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fidem Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Fidem Health Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fidem Health Inc was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.