NPIMap

Organization Active NPI

Riverside Fletcher Medical Group

  • Multi-Specialty Clinic/Center
  • Glendale, CA
National Provider Identifier
1134412323
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
A40329 Issued in CA
Legal business name
RIVERSIDE FLETCHER MEDICAL GROUP
Practice address
1915 W Glenoaks Blvd # 101
Glendale, CA 91201-1541
Phone
(818) 566-8305
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Dr. Arthur Valles, M.D.
Title
Director
Phone
(562) 301-5306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X A40329 CA Primary

Addresses

Primary practice location

1915 W Glenoaks Blvd # 101
Glendale, CA 91201-1541

Mailing address

1915 W Glenoaks Blvd # 101
Glendale, CA 91201-1541
Phone (818) 566-8305

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1134412323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W GLENOAKS BLVD # 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011541",
            "telephone_number": "818-566-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W GLENOAKS BLVD # 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011541",
            "telephone_number": "818-566-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FLETCHER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "VALLES",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-301-5306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A40329",
            "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 May 20, 2011; 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.