Organization Active NPI

First Choice Doctors Medical Group

  • Orthopaedic Surgery Physician
  • North Hollywood, CA
National Provider Identifier
1245424308
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G84264 Issued in CA
Legal business name
FIRST CHOICE DOCTORS MEDICAL GROUP
Practice address
6801 Coldwater Canyon Ave Ste 1E
North Hollywood, CA 91605-5167
Phone
(818) 759-2555
NPI assigned
Aug 31, 2007
Last updated
Aug 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. Robere J Missirian, MD
Title
President
Phone
(818) 759-2555

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X G84264 CA Primary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X G84264 CA
Ambulatory Surgical Clinic/Center 261QA1903X G84264 CA

Addresses

Primary practice location

6801 Coldwater Canyon Ave Ste 1E
North Hollywood, CA 91605-5167

Mailing address

13029A Victory Blvd # 525
North Hollywood, CA 91606-2925
Phone (818) 759-2555

National Provider Directory

National Provider Directory
Tax ID family
First Choice Doctors Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13029 Victory Blvd
#525
North Hollywood, CA 91606

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1245424308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13029A VICTORY BLVD # 525",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062925",
            "telephone_number": "818-759-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 COLDWATER CANYON AVE STE 1E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055167",
            "telephone_number": "818-759-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE DOCTORS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "MISSIRIAN",
        "authorized_official_first_name": "ROBERE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-759-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84264",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G84264",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G84264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.