Mobile Physicians Comfort Care, Inc - Apmc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MOBILE PHYSICIANS COMFORT CARE, INC - APMC

Practice address

11905 Riverside Dr
Valley Village, CA 91607-3724

Phone

(213) 570-2025

NPI assigned

Aug 22, 2023

Organization subpart

No

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

Authorized official

Name

Omowunmi BalogunNPI 1811369424

Title

Administrator

Phone

(213) 570-2025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Omowunmi Balogun

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1811369424
  Medicare reassignment NPD Authorized official
• Ronald Keut Nudelmar, MD

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1477647683
  Medicare reassignment NPD

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1386428126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073724",
            "telephone_number": "213-570-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PHYSICIANS COMFORT CARE, INC - APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "BALOGUN",
        "authorized_official_first_name": "OMOWUNMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-570-2025"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makelle Jenise Mills
• Minasyan Dental, Inc
• Kharen Minasyan, DDS
• Charmaine C Mislang
• Mitchell J Honig, DDS Inc
• Michael Modresky, LMFT
• Iraj Moin, DDS
• Jonathan Clayton Monitz, L.AC, MTOM
• Moradian Dental Corporation, a Professional Corporation
• Elena Michelle Moran

• General Practice Physician in Valley Village, CA
• Providers in Valley Village, 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 23, 2023; 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.