NPIMap

Organization Active NPI

Foothill Plaza Medical Group

  • Family Medicine Physician
  • La Canada, CA
National Provider Identifier
1194739433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A48565 Issued in CA
Legal business name
FOOTHILL PLAZA MEDICAL GROUP
Practice address
1751 Foothill Blvd
3
La Canada, CA 91011-2950
Phone
(818) 790-9990
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
George InNPI 1902835077
Title
MD
Phone
(818) 790-9990

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A48565 CA Primary

Addresses

Primary practice location

1751 Foothill Blvd
3
La Canada, CA 91011-2950

Mailing address

1751 Foothill Blvd
3
La Canada, CA 91011-2950
Phone (818) 790-9990

National Provider Directory

National Provider Directory

Locations

1751 Foothill Blvd
Ste 3
La Canada Flintridge, CA 91011
Phone (818) 790-9990

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": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194739433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 FOOTHILL BLVD",
            "address_2": "3",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112950",
            "telephone_number": "818-790-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 FOOTHILL BLVD",
            "address_2": "3",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112950",
            "telephone_number": "818-790-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL PLAZA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "818-790-9990"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.