Noble Care Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7033 Issued in CA

Legal business name

NOBLE CARE MEDICAL GROUP, INC

Doing business as

San Fernando Medical Center

Practice address

501 N Maclay Ave
San Fernando, CA 91340-2424

Phone

(818) 361-3788

Fax

(818) 361-4630

NPI assigned

Apr 24, 2007

Last updated

May 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Partovy, D.O.NPI 1063591477

Title

President

Phone

(310) 709-4890

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SAN FERNANDO MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Robert Partovy, D.O.

  • Family Medicine Physician
  • San Fernando, CA
  • NPI 1063591477
  Medicare reassignment NPD Authorized official
• Nasrin Ahmadi, D.C.

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1346677572
  Medicare reassignment
• Bruce P Hector, MD

  • Family Medicine Physician
  • San Fernando, CA
  • NPI 1851495154
  Medicare reassignment

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1093933939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920970",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913920970",
            "telephone_number": "818-361-3788",
            "fax_number": "818-361-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MACLAY AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402424",
            "telephone_number": "818-361-3788",
            "fax_number": "818-361-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE CARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "PARTOVY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-709-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1063591477",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX70330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN FERNANDO MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAN FERNANDO MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.