Organization Active NPI

Healing Bridge Medical Group

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1124923982
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALING BRIDGE MEDICAL GROUP
Practice address
340 Arden Ave Ste 224
Glendale, CA 91203-1102
Phone
(747) 351-9960
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Vladimir Ahsoti Jumanyan
Title
Administrator
Phone
(757) 351-9960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

340 Arden Ave Ste 224
Glendale, CA 91203-1102

Mailing address

340 Arden Ave Ste 224
Glendale, CA 91203-1102
Phone (747) 351-9960

National Provider Directory

National Provider Directory

Locations

340 Arden Ave
Ste 224
Glendale, CA 91203

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1124923982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ARDEN AVE STE 224",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031102",
            "telephone_number": "747-351-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ARDEN AVE STE 224",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031102",
            "telephone_number": "747-351-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING BRIDGE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "JUMANYAN",
        "authorized_official_first_name": "VLADIMIR AHSOTI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-351-9960"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_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 Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.