Noho West Medical Group, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NOHO WEST MEDICAL GROUP, INC.

Practice address

12511 Oxnard St Unit a
North Hollywood, CA 91606-4458

Phone

(818) 745-8845

Fax

(818) 745-8835

NPI assigned

Feb 25, 2025

Organization subpart

No

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

Authorized official

Name

Maribeth Floresta McKinney, DNPNPI 1578878948

Title

Nurse Practitioner

Phone

(818) 745-7745

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.

• Maribeth Floresta McKinney, MSN-FNP

  • Family Nurse Practitioner
  • North Hollywood, CA
  • NPI 1578878948
  Medicare reassignment NPD Authorized official
• Eliza Sukhee Ahn, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1356450498
  Medicare reassignment NPD

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1093512360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 OXNARD ST UNIT A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064458",
            "telephone_number": "818-745-8845",
            "fax_number": "818-745-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 OXNARD ST UNIT A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064458",
            "telephone_number": "818-745-8845",
            "fax_number": "818-745-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOHO WEST MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "MARIBETH",
        "authorized_official_middle_name": "FLORESTA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "818-745-7745",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noho Medical Group Inc
• Noho Medical Pharmacy Inc
• Noho Medical Supply Inc
• Noho Medical Supply Inc.
• Noho Medical, Inc.
• Noho West Surgery Center, Inc.
• Theerawat Noimor
• Julyza Nolasco
• Hasmik Nordanyan
• Angelica Vanessa Noriega, AMFT

• Primary Care Clinic/Center in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.