FMC 26, PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FMC 26, PC

Practice address

14547 Victory Blvd
Van Nuys, CA 91411-1619

Phone

(818) 997-3232

Fax

(818) 997-7750

NPI assigned

Jan 12, 2023

Organization subpart

No

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

Authorized official

Name

Joabb Marie Grippo

Title

Billing Manager

Phone

(909) 967-5670

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Nouriel Niamehr, DO

  • Physical Medicine & Rehabilitation Physician
  • Reseda, CA
  • NPI 1679881346
  Medicare reassignment NPD
• Wayne Hamilton Martin, M.D.

  • Ophthalmology Physician
  • Diamond Bar, CA
  • NPI 1033293261
  NPD

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1003520065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14547 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111619",
            "telephone_number": "818-997-3232",
            "fax_number": "818-997-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14547 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111619",
            "telephone_number": "818-997-3232",
            "fax_number": "818-997-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMC 26, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "GRIPPO",
        "authorized_official_first_name": "JOABB",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "909-967-5670"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Flores
• Sabrina M Florez
• Penelope Flower-Flemming
• Floyd Healthcare
• Darnique Katura Fluker
• Focus Eye Inc.
• Ndika Fomukong, P.A.C
• Rosalba V Fonseca
• Kelly Fontamillas
• Brooke Foor

• Multi-Specialty Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.