NPIMap

Organization Active NPI

Robere J. Missirian MD Inc

Doing business as MOMG/Missirian Orthopaedic Medical Group

  • Ambulatory Surgical Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1003023821
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ROBERE J. MISSIRIAN MD INC
Doing business as
MOMG/Missirian Orthopaedic Medical Group
Practice address
6801 Coldwater Canyon Ave Ste 1E
North Hollywood, CA 91605-5167
Phone
(818) 759-2555
Fax
(818) 759-2556
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robere J Missirian, MDNPI 1326255134
Title
President
Phone
(818) 759-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X CA
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6801 Coldwater Canyon Ave Ste 1E
North Hollywood, CA 91605-5167

Mailing address

13029A Victory Blvd # 525
North Hollywood, CA 91606-2925
Phone (818) 759-2555

Other names 1

  • MOMG/Missirian Orthopaedic Medical Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1003023821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13029A VICTORY BLVD # 525",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062925",
            "telephone_number": "818-759-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 COLDWATER CANYON AVE STE 1E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055167",
            "telephone_number": "818-759-2555",
            "fax_number": "818-759-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERE J. MISSIRIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "MISSIRIAN",
        "authorized_official_first_name": "ROBERE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-759-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOMG/Missirian Orthopaedic Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.