Primcare Medical Center Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

PRIMCARE MEDICAL CENTER INC

Practice address

11755 Victory Blvd Ste 100B
North Hollywood, CA 91606-3423

Phone

(747) 203-1909

Fax

(747) 205-2063

NPI assigned

Sep 24, 2025

Organization subpart

No

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

Authorized official

Name

Nicholas Dzebolo, MDNPI 1932239837

Title

Ceo/ Owner

Phone

(747) 265-6308

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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

• Nicholas N Dzebolo, MD

  • Interventional Cardiology Physician
  • Sacramento, CA
  • NPI 1932239837
  Medicare reassignment Care Compare group NPD Authorized official
• Christina Thomasian Artoonian, APRN, MSN, BA, FNP-C

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1093415424
  Medicare reassignment Care Compare group NPD
• Melody Elist, PA-C

  • Physician Assistant
  • West Hollywood, CA
  • NPI 1154699353
  Medicare reassignment Care Compare group NPD
• Arthur Takhmizyan

  • Family Nurse Practitioner
  • Santa Clarita, CA
  • NPI 1689543274
  Medicare reassignment NPD

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1033082318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 100B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "747-203-1909",
            "fax_number": "747-205-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 100B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "747-203-1909",
            "fax_number": "747-205-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMCARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "DZEBOLO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "747-265-6308",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.