NPIMap

Organization Active NPI

California Specialty Medical Group

  • General Practice Physician
  • Glendale, CA
National Provider Identifier
1396991766
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A87782 Issued in CA
Legal business name
CALIFORNIA SPECIALTY MEDICAL GROUP
Practice address
213 N Orange St
Suite E
Glendale, CA 91203-2648
Phone
(818) 660-2647
Fax
(323) 297-5220
NPI assigned
Aug 17, 2008
Last updated
Jul 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Dr. Anaida Melkumian, MDNPI 1275584898
Title
President
Phone
(818) 660-2647

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A87782 CA Primary

Addresses

Primary practice location

213 N Orange St
Suite E
Glendale, CA 91203-2648

Mailing address

213 N Orange St
Suite E
Glendale, CA 91203-2648
Phone (818) 660-2647

National Provider Directory

National Provider Directory

Locations

7531 Santa Monica Blvd
Ste 209
West Hollywood, CA 90046
Phone (323) 650-2750

Practitioners & affiliated clinicians

Practitioners 5

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": "1218931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1396991766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N ORANGE ST",
            "address_2": "SUITE E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032648",
            "telephone_number": "818-660-2647",
            "fax_number": "323-297-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N ORANGE ST",
            "address_2": "SUITE E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032648",
            "telephone_number": "818-660-2647",
            "fax_number": "323-297-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPECIALTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-17",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "MELKUMIAN",
        "authorized_official_first_name": "ANAIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-660-2647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A87782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.