Organization Active NPI

Abri MD Group Inc

  • General Practice Physician
  • Toluca Lake, CA
National Provider Identifier
1033802087
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ABRI MD GROUP INC
Practice address
10916 Riverside Dr Ste B
Toluca Lake, CA 91602-2210
Phone
(818) 488-6076
NPI assigned
May 26, 2023
Last updated
May 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Abid Rizvi, MDNPI 1255582540
Title
Ceo/Owner
Phone
(818) 488-6076

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10916 Riverside Dr Ste B
Toluca Lake, CA 91602-2210

Mailing address

10916 Riverside Dr Ste B
Toluca Lake, CA 91602-2210
Phone (818) 488-6076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230707002762 CA Part B Supplier - Clinic/Group Practice 4082073101 Receives reassigned benefits from 2 practitioners
Practice locations: Toluca Lake, CA

National Provider Directory

National Provider Directory

Locations

10916 Riverside Dr
Ste B
Toluca Lake, CA 91602
Phone (818) 488-6076

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1033802087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10916 RIVERSIDE DR STE B",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022210",
            "telephone_number": "818-488-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10916 RIVERSIDE DR STE B",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022210",
            "telephone_number": "818-488-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRI MD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "ABID",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-488-6076",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toluca Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.