Verdugo Medical Clinic a Professional Medical Corporation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

VERDUGO MEDICAL CLINIC A PROFESSIONAL MEDICAL CORPORATION

Practice address

290 E Verdugo Ave Ste 105
Burbank, CA 91502-1331

Phone

(818) 433-7323

Fax

(818) 433-7347

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Bernadette De Lara Guia, NP

Title

President/NP

Phone

(818) 433-7323

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1225730716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E VERDUGO AVE STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021331",
            "telephone_number": "818-433-7323",
            "fax_number": "818-433-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E VERDUGO AVE STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021331",
            "telephone_number": "818-433-7323",
            "fax_number": "818-433-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUGO MEDICAL CLINIC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "GUIA",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "DE LARA",
        "authorized_official_title_or_position": "PRESIDENT/NP",
        "authorized_official_telephone_number": "818-433-7323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Verdugo Medical Care, Inc
• Verdugo Medical Group Corp
• Verdugo Medical Group, Inc
• Robert Verdugo, D.C.
• Lilyana Verdusco, AMFT
• Ever Vergara

• Nurse Practitioner in Burbank, CA
• Providers in Burbank, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.