Athenacare Medical Group Inc
NPI 1538025085ActiveOrganization· General Practice· Glendale, CA
General Practice in Glendale, California, registered in NPPES in December 2025. The authorized official on file is Tamara Petrosyan, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538025085 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2025 |
| Last updated in NPPES | Dec 29, 2025 |
| Certified by provider | Dec 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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