Organization Active NPI

Ans Medical Group

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1124865795
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANS MEDICAL GROUP
Practice address
639 S Glenwood PL Ste 117-B
Burbank, CA 91506-2819
Phone
(213) 757-8729
Fax
(213) 725-5950
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Mrs. Estela Corpuz
Title
Ceo
Phone
(702) 302-6395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

639 S Glenwood PL Ste 117-B
Burbank, CA 91506-2819

Mailing address

639 S Glenwood PL Ste 117-B
Burbank, CA 91506-2819
Phone (213) 757-8729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250325003958 CA Part B Supplier - Clinic/Group Practice 3779006291 Receives reassigned benefits from 2 practitioners
Practice locations: Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

639 S Glenwood Pl
Ste 117B
Burbank, CA 91506
Phone (213) 757-8729

5775 E Los Angeles Ave
Ste 125
Simi Valley, CA 93063
Phone (213) 757-8729

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1124865795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S GLENWOOD PL STE 117-B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062819",
            "telephone_number": "213-757-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S GLENWOOD PL STE 117-B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062819",
            "telephone_number": "213-757-8729",
            "fax_number": "213-725-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "CORPUZ",
        "authorized_official_first_name": "ESTELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-302-6395",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.