McSsg

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA17404 Issued in CA

Legal business name

MCSSG

Practice address

1510 S Central Ave Ste 100
Glendale, CA 91204-2582

Phone

(818) 240-1820

Fax

(818) 240-1021

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mardiros Mihranian, M.D.NPI 1093997330

Title

General Surgeon

Phone

(818) 240-1820

Specialties & licenses 1

Addresses

Tax ID family

McSsg3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Medical Clinic and Surgical Specialities of Glendale

  • Otolaryngology Physician
  • Glendale, CA
  • NPI 1013051085
  NPD tax ID
• Medical Clinic and Surgical Specialties of Glendale

  • Surgery Physician
  • Glendale, CA
  • NPI 1508904731
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mardiros H Mihranian, M.D.

  • Surgery Physician
  • Glendale, CA
  • NPI 1093997330
  Authorized official Same address or phone

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295873719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042582",
            "telephone_number": "818-240-1820",
            "fax_number": "818-240-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042582",
            "telephone_number": "818-240-1820",
            "fax_number": "818-240-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCSSG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIHRANIAN",
        "authorized_official_first_name": "MARDIROS",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "818-240-1820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA17404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Renee McKeighan
• John Paul McKenzie III, M.D.
• McLa Psychiatric Medical Group a Professional Corporation (MCLA Psychiatric Medical Group)
• Abigail McLaughlin
• Bernard T McNamara, MD
• Laureen Kiambao McVicker, PHYSICAL THERAPIST
• Lisa McVicker
• MD on the Go Medical Corporation
• MDC Radiology, Inc.
• MDK Medical Equipment Inc

• Surgical Physician Assistant in Glendale, CA
• Providers in Glendale, CA by specialty
• Surgical Physician Assistant in California

• 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.