Organization Active NPI

Ariel Gavino M.D. a Medical Corporation

  • Geriatric Medicine (Family Medicine) Physician
  • North Hollywood, CA
National Provider Identifier
1164200739
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
ARIEL GAVINO M.D. A MEDICAL CORPORATION
Practice address
6440 Bellingham Ave Ste 2
North Hollywood, CA 91606-1402
Phone
(818) 860-4330
Fax
(818) 860-4331
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Ariel Gavino, MDNPI 1659531994
Title
Medical Director
Phone
(818) 860-4330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

6440 Bellingham Ave Ste 2
North Hollywood, CA 91606-1402

Mailing address

6440 Bellingham Ave Ste 2
North Hollywood, CA 91606-1402
Phone (818) 860-4330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231024001932 CA Part B Supplier - Clinic/Group Practice 2365898525 Receives reassigned benefits from 2 practitioners
Practice locations: N Hollywood, CA

National Provider Directory

National Provider Directory

Locations

8065 Webb Ave
N Hollywood, CA 91605

8065 Webb Ave
Ste A
North Hollywood, CA 91605
Phone (818) 923-8631

6440 Bellingham Ave
Ste 2
North Hollywood, CA 91606
Phone (626) 593-8131

6440 Bellingham Ave
North Hollywood, CA 91606

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": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1164200739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 BELLINGHAM AVE STE 2",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061402",
            "telephone_number": "818-860-4330",
            "fax_number": "818-860-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 BELLINGHAM AVE STE 2",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061402",
            "telephone_number": "818-860-4330",
            "fax_number": "818-860-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIEL GAVINO M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "GAVINO",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-860-4330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.