Organization Active NPI

Spectrum Care & Wellness Professional Corporation

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1336432327
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPECTRUM CARE & WELLNESS PROFESSIONAL CORPORATION
Practice address
2601 W Alameda Ave
Ste. 111
Burbank, CA 91505-4800
Phone
(818) 847-3960
Fax
(818) 847-3997
NPI assigned
May 24, 2011
Last updated
May 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Christine Szeto, MDNPI 1437182185
Title
President
Phone
(818) 847-3960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CA Primary

Addresses

Primary practice location

2601 W Alameda Ave
Ste. 111
Burbank, CA 91505-4800

Mailing address

PO Box 2389
Toluca Lake, CA 91610-0389
Phone (818) 847-3960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110901000434 CA Part B Supplier - Clinic/Group Practice 4981874872 Receives reassigned benefits from 2 practitioners
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

255 E Orange Grove Ave
Ste A
Burbank, CA 91502
Phone (818) 843-3600

5 E Orange GRV Ave
Ste a
Burbank, CA 91502
Phone (818) 848-3333

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1336432327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2389",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916100389",
            "telephone_number": "818-847-3960",
            "fax_number": "818-847-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "STE. 111",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-847-3960",
            "fax_number": "818-847-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CARE & WELLNESS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "SZETO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-847-3960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.