Active NPI
Elite Medical Group Inc
- Geriatric Medicine (Internal Medicine) Physician
- Sherman Oaks, CA
National Provider Identifier
1023996618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- ELITE MEDICAL GROUP INC
- Practice address
- 4312 Woodman Ave Ste 300
Sherman Oaks, CA 91423-5514 - Phone
- (818) 521-1418
- NPI assigned
- Aug 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Grand
- Title
- Cfo
- Phone
- (818) 521-1418
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
4312 Woodman Ave Ste 300
Sherman Oaks, CA 91423-5514
Mailing address
4312 Woodman Ave Ste 300
Sherman Oaks, CA 91423-5514
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755820800000",
"number": "1023996618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4312 WOODMAN AVE STE 300",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914235514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4312 WOODMAN AVE STE 300",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914235514",
"telephone_number": "818-521-1418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A",
"authorized_official_last_name": "GRAND",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "818-521-1418"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
- Elena Pushin LCSW
- Carla Elia, PH.D.
- Husam Elias, MD
- Amelita Elicano, M.A., M.F.T.
- Elite Behavioral Therapies, Inc.
- Elite Medical Services Group Apc
- Elite Performance Clinic Physical Therapy a Professional Corporation
- Elite Wound Care & Medical Services, Inc
- Elizabeth Bartholomew Licensed Clinical Social Worker, Inc.
- Julieann Elkins, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.