Great Health Medical Ca PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREAT HEALTH MEDICAL CA PC

Practice address

407 Willoughby Ave
Brooklyn, NY 11205-4590

Phone

(212) 201-1252

NPI assigned

Feb 6, 2025

Organization subpart

No

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

Authorized official

Name

Sonika RandevNPI 1023403268

Title

MD

Phone

(212) 734-6621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Sonika Randev, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1023403268

  CA

  Medicare reassignment Care Compare group NPD Authorized official
• Anna Balyezyan, NURSE PRACTITIONER

  • Nurse Practitioner
  • Van Nuys, CA
  • NPI 1396548079
  Medicare reassignment Care Compare group NPD
• Lilian Rose Ballentos Gumban-Saldana, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Aliso Viejo, CA
  • NPI 1124993290
  Medicare reassignment NPD
• Mi Ye NA Yu, FNP

  • Family Nurse Practitioner
  • Laguna Niguel, CA
  • NPI 1255122289
  Medicare reassignment NPD

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1285448530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WILLOUGHBY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WILLOUGHBY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054590",
            "telephone_number": "212-201-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HEALTH MEDICAL CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "RANDEV",
        "authorized_official_first_name": "SONIKA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-734-6621"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Greater Elm Therapeutics

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.