Organization Active NPI

Meridian Prime Medical

  • General Practice Physician
  • Glendale, CA
National Provider Identifier
1184547994
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MERIDIAN PRIME MEDICAL
Practice address
1100 E Broadway Ste 203
Glendale, CA 91205-2490
Phone
(818) 334-3245
Fax
(818) 245-6457
NPI assigned
Jul 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Sushil P Anand, MD
Title
Ceo
Phone
(818) 334-3245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1100 E Broadway Ste 203
Glendale, CA 91205-2490

Mailing address

1100 E Broadway Ste 203
Glendale, CA 91205-2490
Phone (818) 334-3245

National Provider Directory

National Provider Directory

Locations

1100 E Broadway
Ste 203
Glendale, CA 91205
Phone (818) 334-8600

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1184547994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052490",
            "telephone_number": "818-334-3245",
            "fax_number": "818-245-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052490",
            "telephone_number": "818-334-3245",
            "fax_number": "818-245-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PRIME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "SUSHIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-334-3245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Jul 30, 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.