Organization Active NPI

Fitness Covered Group LLC

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1174139042
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FITNESS COVERED GROUP LLC
Practice address
654 Hawthorne St
Glendale, CA 91204-1002
Phone
(818) 472-3995
NPI assigned
Sep 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Marc Glikin
Title
Owner
Phone
(818) 472-3995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

654 Hawthorne St
Glendale, CA 91204-1002

Mailing address

12439 Magnolia Blvd # 438
Valley Village, CA 91607-2450

National Provider Directory

National Provider Directory

Locations

654 Hawthorne St
Glendale, CA 91204
Phone (818) 472-3995

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1174139042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12439 MAGNOLIA BLVD # 438",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 HAWTHORNE ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041002",
            "telephone_number": "818-472-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS COVERED GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "GLIKIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-472-3995"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "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 Sep 16, 2020; 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.