NPIMap

Organization Active NPI

Verdugo Medical Group, Inc.

Doing business as Clinica Medica Nationale

  • Obstetrics & Gynecology Physician
  • Sun Valley, CA
National Provider Identifier
1316024565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A31823 Issued in CA
Legal business name
VERDUGO MEDICAL GROUP, INC.
Doing business as
Clinica Medica Nationale
Practice address
8741 Laurel Canyon Blvd
Sun Valley, CA 91352-2919
Phone
(818) 767-7640
Fax
(818) 954-0029
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mehmet Kasim, M.D.
Title
President/Owner
Phone
(818) 438-6295

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 00A334650 CA
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X A31823 CA Primary

Addresses

Primary practice location

8741 Laurel Canyon Blvd
Sun Valley, CA 91352-2919

Mailing address

8741 Laurel Canyon Blvd
Sun Valley, CA 91352-2919
Phone (818) 767-7640

Other identifiers 1

IdentifierTypeStateIssuer
GR0064551MedicaidCA

Other names 1

  • Clinica Medica Nationale Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinica Medica Nationale2 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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316024565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8741 LAUREL CANYON BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522919",
            "telephone_number": "818-767-7640",
            "fax_number": "818-954-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8741 LAUREL CANYON BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522919",
            "telephone_number": "818-767-7640",
            "fax_number": "818-954-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUGO MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASIM",
        "authorized_official_first_name": "MEHMET",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-438-6295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "00A334650",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A31823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica Nationale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun Valley, CA

Sources for this page

  • 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.