Organization Active NPI

Apollomed Aco

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1073934865
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A69768 Issued in CA
Legal business name
APOLLOMED ACO
Practice address
700 N Brand Blvd
Suite 220
Glendale, CA 91203-1247
Phone
(818) 839-5200
NPI assigned
Dec 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Warren Hosseinion, MD
Title
Ceo
Phone
(818) 839-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A69768 CA Primary

Addresses

Primary practice location

700 N Brand Blvd
Suite 220
Glendale, CA 91203-1247

Mailing address

700 N Brand Blvd
Suite 220
Glendale, CA 91203-1247
Phone (818) 839-5200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1073934865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD",
            "address_2": "SUITE 220",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031247",
            "telephone_number": "818-839-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD",
            "address_2": "SUITE 220",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031247",
            "telephone_number": "818-839-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLOMED ACO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "HOSSEINION",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-839-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.