Organization Active NPI

Graceful Aging Medical Services Ca PC

  • Rehabilitation Practitioner
  • Glendale, CA
National Provider Identifier
1144128588
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
GRACEFUL AGING MEDICAL SERVICES CA PC
Practice address
340 Arden Ave Ste 243
Glendale, CA 91203-1102
Phone
(212) 201-1252
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Dr. Sonika Randev, MD
Title
Ceo
Phone
(212) 201-1252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

340 Arden Ave Ste 243
Glendale, CA 91203-1102

Mailing address

407 Willoughby Ave
Brooklyn, NY 11205-4590
Phone (212) 201-1252

National Provider Directory

National Provider Directory

Locations

340 Arden Ave
Ste 243
Glendale, CA 91203

NPI Registry JSON

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1144128588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WILLOUGHBY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054590",
            "telephone_number": "212-201-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ARDEN AVE STE 243",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031102",
            "telephone_number": "212-201-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL AGING MEDICAL SERVICES CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "RANDEV",
        "authorized_official_first_name": "SONIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-201-1252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "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 27, 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.