MEDICARE: GLENDALE MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2809	AZ

General Provider Information

NPI Number	:	1346374543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLENDALE MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1917 W GLENDALE AVE
Second Line	:	SUITE 11
City	:	PHOENIX
State	:	AZ
Zip	:	85021-7861
Country	:	US
Telephone Number	:	602-995-9144
Fax Number	:	602-995-9563

Provider Business Practice Location Address
First Line	:	1917 W GLENDALE AVE
Second Line	:	SUITE 11
City	:	PHOENIX
State	:	AZ
Zip	:	85021-7861
Country	:	US
Telephone Number	:	602-995-9144
Fax Number	:	602-995-9563

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NASSER BAGHERI
Credential	:
Telephone Number	:	602-995-9144

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1437325453 — DIVINE TOUCH HEALTH SERVICES INC
Practice Location Address:

1917 W GLENDALE AVE STE 5
PHOENIX, AZ
85021-7861

Practice Phone: 602-864-5040
Practice Fax: 602-864-5016

1922269646 — DIVINE TOUCH HEALTH SERVICES INC
Practice Location Address:

1917 W GLENDALE AVE , SUITE 5
PHOENIX, AZ
85021-7861

Practice Phone: 602-864-5040
Practice Fax: 602-864-5016

1194500124 — DIVINE HOPE IOP, LLC
Practice Location Address:

1917 W GLENDALE AVE STE 8
PHOENIX, AZ
85021-7861

Practice Phone: 480-501-0957
Practice Fax:

1023965118 — ESTHER ERIC MALISH
Practice Location Address:

2400 W DUNLAP AVE STE 124
PHOENIX, AZ
85021-2813

Practice Phone: 602-325-2485
Practice Fax:

1063360063 — VALLEYLIFE
Practice Location Address:

1142 W HATCHER RD
PHOENIX, AZ
85021-3045

Practice Phone: 602-216-6393
Practice Fax: 602-216-6357

1023964004 — GIOVANNA ITZEL MENA SOTO
Practice Location Address:

2400 W DUNLAP AVE STE 124
PHOENIX, AZ
85021-2813

Practice Phone: 602-325-2485
Practice Fax:

Directions to “GLENDALE MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.