Axoderm Corp
NPI 1891675674 · Medical Toxicology (Emergency Medicine) Physician · Glendale, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Axoderm Corp is a Medical Toxicology (Emergency Medicine) Physician organization in Glendale, CA (NPI 1891675674).
Provider details
- NPI number
- 1891675674
- Entity type
- Organization
- Primary specialty
- Medical Toxicology (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angie Davoody, Office Manager / Executive(818) 242-3200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-03
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Frequently asked questions
- What is Axoderm Corp's NPI number?
- Axoderm Corp's National Provider Identifier (NPI) is 1891675674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Axoderm Corp?
- Axoderm Corp is classified in the NPPES registry as Medical Toxicology (Emergency Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Axoderm Corp located?
- Axoderm Corp's practice location on file with NPPES is 1510 S Central Ave Ste 640, Glendale, CA 91204-2552.
- What is Axoderm Corp's phone number?
- The practice phone number listed in the NPPES registry for Axoderm Corp is (310) 933-5054.
- Does Axoderm Corp accept Medicare?
- Axoderm Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Axoderm Corp?
- The authorized official listed on Axoderm Corp's NPPES record is Angie Davoody, Office Manager / Executive. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Axoderm Corp's NPI active?
- Yes — Axoderm Corp's NPI (1891675674) is active in the NPPES registry as of the last update on 2025-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.