Ally Medical Group LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ALLY MEDICAL GROUP LLC

Practice address

450 N Brand Blvd
600
Glendale, CA 91203-2347

Phone

(818) 441-4841

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Miss Windy Paguio Sales, OWNER

Title

President

Phone

(818) 441-8418

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306240619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N BRAND BLVD",
            "address_2": "600",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032347",
            "telephone_number": "818-441-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BRAND BLVD",
            "address_2": "600",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032347",
            "telephone_number": "818-441-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SALES",
        "authorized_official_first_name": "WINDY",
        "authorized_official_middle_name": "PAGUIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-441-8418",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Glendale, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.