Active NPI
Proxima Medical Group
- Family Medicine Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PROXIMA MEDICAL GROUP
- Practice address
- 800 S Central Ave Ste 206
Glendale, CA 91204-4379 - Phone
- (818) 862-4000
- Fax
- (818) 616-8660
- NPI assigned
- Jun 7, 2024
- Last updated
- Jan 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hapetnak Shaybekyan, MD
- Title
- Ceo
- Phone
- (818) 862-4000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
800 S Central Ave Ste 206
Glendale, CA 91204-4379
Mailing address
800 S Central Ave Ste 206
Glendale, CA 91204-4379
Phone (818) 862-4000
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2312657 | Proxima Medical Group | Certificate of waiver | Oct 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
800 S Central Ave
Ste 206
Glendale, CA 91204
Phone (818) 240-2233
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBIFDD
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1730754763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768953600000",
"number": "1124860507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S CENTRAL AVE STE 206",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912044379",
"telephone_number": "818-862-4000",
"fax_number": "818-616-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S CENTRAL AVE STE 206",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912044379",
"telephone_number": "818-862-4000",
"fax_number": "818-616-8660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROXIMA MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-07",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A",
"authorized_official_last_name": "SHAYBEKYAN",
"authorized_official_first_name": "HAPETNAK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-862-4000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"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 Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.