Burbank General Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A32356 Issued in CA

Legal business name

BURBANK GENERAL MEDICAL GROUP INC

Practice address

13330 Burbank Blvd
Sherman Oaks, CA 91401-5321

Phone

(818) 387-6045

Fax

(818) 387-6471

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ruben S Gualberto, M.D.

Title

President/Ceo

Phone

(818) 387-6045

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Danielle L Davidson-McBean

  • Adult Medicine Physician
  • Inglewood, CA
  • NPI 1689782013
  NPD (past)
• Earl Don Fernando, M.D.

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1033255021
  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1376859694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 BURBANK BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015321",
            "telephone_number": "818-387-6045",
            "fax_number": "818-387-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 BURBANK BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015321",
            "telephone_number": "818-387-6045",
            "fax_number": "818-387-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK GENERAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "GUALBERTO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-387-6045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A32356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adria Tamisha Bryant
• Bryce Matthews, D.C., Chiropractic, Inc.
• BSN Surgical Associates Inc
• Irlanda Buck
• Jennifer Buonamassa
• Burbank Home Care, Inc.
• Burbank Infectious Diseases PC
• Mat Burnett
• Bryan Burra
• Brooke Burritt

• General Practice Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.