Organization Active NPI

Proxima Medical Group

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1124860507
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Hapetnak Shaybekyan, MDNPI 1730754763
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2312657Proxima Medical Group800 S Central Ave Suite 206, Glendale, CA 91204Certificate of waiverOct 15, 2026

National Provider Directory

National Provider Directory

Locations

800 S Central Ave
Ste 206
Glendale, CA 91204
Phone (818) 240-2233

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.