Santo Nino Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SANTO NINO HEALTH CENTER

Practice address

14427 Chase St Ste 100
Panorama City, CA 91402-3020

Phone

(818) 830-7751

Fax

(818) 891-7892

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Marshak, MDNPI 1104890029

Title

Ceo

Phone

(818) 830-7751

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Federally qualified health center certification: CCN A01944

Legal name

SANTO NINO HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 15, 2025

Last certification

Apr 15, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

14427 Chase St
Ste 100
Panorama City, CA 91402-3020

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Glenn A Marshak, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1104890029

  Corporate Officer

  CMS ownership

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parastou Farhadian

  • Family Medicine Physician
  • Panorama City, CA
  • NPI 1538496419

  CA

  Medicare reassignment Care Compare group NPD
• Michelle Gabbai, MD

  • Specialist
  • West Hollywood, CA
  • NPI 1659437358

  CA

  Medicare reassignment Care Compare group NPD
• Petros Hajian, D.O.

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1285036640

  CA

  Medicare reassignment Care Compare group NPD
• Paul T Lee, M.D.

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1326042680

  CA

  Medicare reassignment Care Compare group NPD
• Robert Y Meyerson, MD

  • Family Medicine Physician
  • Panorama City, CA
  • NPI 1629084983

  CA

  Medicare reassignment Care Compare group NPD
• Romeo Uy Montenegro, M.D.

  • General Practice Physician
  • Panorama City, CA
  • NPI 1629297163

  CA

  Medicare reassignment Care Compare group NPD
• David C Parris, MD

  • Internal Medicine Physician
  • North Hollywood, CA
  • NPI 1154403921

  CA

  Medicare reassignment Care Compare group NPD
• Tedmur Qozi-Habash, M.D.

  • Family Medicine Physician
  • Mission Hills, CA
  • NPI 1710978135

  CA

  Medicare reassignment Care Compare group NPD
• Carmen S Slavov, MD

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1043205909

  CA

  Medicare reassignment Care Compare group NPD
• Mairead Joan Torsney-Weir, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Marina del Rey, CA
  • NPI 1669607511

  CA

  Medicare reassignment Care Compare group NPD
• Glenn A Marshak, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1104890029

  CA

  Medicare reassignment NPD (past) Authorized official
• Saira M Dar, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1366412165

  CA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1194461129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14427 CHASE ST STE 100",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023020",
            "telephone_number": "818-830-7751",
            "fax_number": "818-891-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14427 CHASE ST STE 100",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023020",
            "telephone_number": "818-830-7751",
            "fax_number": "818-891-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTO NINO HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "MARSHAK",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-830-7751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Abraham Sandoval
• Daniel Anthony Sandoval, MASSAGE THERAPIST
• Manisha Virendra Sanghvi, M.D.
• Alma Santa Isabel
• Santa Maria Home Health Inc
• Santo Nino Health Center
• Santo Nino Medical Group
• Santo Nino Medical Group Inc
• Manuel I. Santos, MD
• Rhonda Rae Sanuskar, RCP, RRT, NPS

• All providers in Panorama City, CA
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.