Verdugo Medical Group Corp

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

VERDUGO MEDICAL GROUP CORP

Practice address

142 W Verdugo Ave
Burbank, CA 91502-2132

Phone

(818) 588-3705

Fax

(818) 588-3685

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Aboo Nasar, M.D.NPI 1871533380

Title

President

Phone

(818) 588-3705

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.

• Aboo Nasar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1871533380
  Medicare reassignment NPD Authorized official
• Basem R. Farag, M.D

  • Family Medicine Physician
  • Lakewood, CA
  • NPI 1457441974
  NPD (past)

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1073373601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W VERDUGO AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022132",
            "telephone_number": "818-588-3705",
            "fax_number": "818-588-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W VERDUGO AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022132",
            "telephone_number": "818-588-3705",
            "fax_number": "818-588-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUGO MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "NASAR",
        "authorized_official_first_name": "ABOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-588-3705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vera Hospice & Palliative Care Inc
• Kevin Vera
• Sepideh Verdi
• Verdugo Medical Care, Inc
• Verdugo Medical Clinic a Professional Medical Corporation
• Verdugo Medical Group, Inc
• Robert Verdugo, D.C.
• Lilyana Verdusco, AMFT
• Ever Vergara
• Ves HHA Inc

• Geriatric Medicine (Internal Medicine) Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.