Active NPI
Graceful Aging Medical Services Ca PC
- Rehabilitation Practitioner
- Glendale, CA
National Provider Identifier
1144128588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 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 DirectoryLocations
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.