Optimum Medical Group North

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OPTIMUM MEDICAL GROUP NORTH

Practice address

2258 Foothill Blvd Ste 200
La Canada, CA 91011-1472

Phone

(954) 675-3257

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Nare Stepanyan, MDNPI 1003386558

Title

Partner

Phone

(954) 675-3257

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Nare Stepanyan, MD

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1003386558
  Medicare reassignment Care Compare group NPD Authorized official
• James Keller Wortham, MD

  • General Practice Physician
  • Glendale, CA
  • NPI 1528114410
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1194498873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 FOOTHILL BLVD STE 200",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 FOOTHILL BLVD STE 200",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111472",
            "telephone_number": "954-675-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MEDICAL GROUP NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "STEPANYAN",
        "authorized_official_first_name": "NARE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "954-675-3257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Uyentrang Nguyen-Oghalai, MD
• Daniel E Niemann, DDS, MD
• Jerick Nomura, PT, DPT
• Nune Grigorian DDS., Inc.
• Ohanian & Oganian Dental Corp
• Pacific Clinics
• Sungshim Park Loppnow, LMFT
• Karina Michelle Parra-Morales, PA-C
• Hailey Joy Paton, MPT
• Perception Optometry

• Family Medicine Physician in La Canada, CA
• Providers in La Canada, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.