Active NPI
Minuteclinic Diagnostic Medical Group of California Inc
- Family Nurse Practitioner
- Burbank, CA
National Provider Identifier
1205575990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC
- Practice address
- 511 N Hollywood Way
Burbank, CA 91505-3406 - Phone
- (866) 389-2727
- NPI assigned
- Jun 1, 2022
- Last updated
- Oct 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Jean Pincince
- Title
- Administrator
- Phone
- (401) 770-3813
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary | |
| Clinical Social Worker | 1041C0700X | NU | ||
| Family Medicine Physician | 207Q00000X | NU |
Addresses
Primary practice location
511 N Hollywood Way
Burbank, CA 91505-3406
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
National Provider Directory
National Provider Directory- Tax ID family
- Minuteclinic Diagnostic Medical Group of California Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Burbank, CA
- NPI 1033309372
-
- Clinical Social Worker
- Burbank, CA
- NPI 1811641244
Locations
511 N Hollywood Way
Burbank, CA 91505
Phone (818) 841-0710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1205575990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N HOLLYWOOD WAY",
"city": "BURBANK",
"state": "CA",
"postal_code": "915053406",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-01",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "PINCINCE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "401-770-3813"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
- Mind and Help Home Health, Inc.
- Mindbloom ABA Therapy Corporation
- Elizabeth Minor
- Maria Ruby R Minosa, MD.
- Minuteclinic Diagnostic Medical Group of California Inc
- Minuteclinic Diagnostic Medical Group of California Inc
- Mir Ali-Khan M D Professional Corporation
- Barry Mir-Motahari, MSW INTERN
- Marina Mirabal, BCBA
- Miracle Life Home Health, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.