Intel Medical Group Inc

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

INTEL MEDICAL GROUP INC

Practice address

20301 Ventura Blvd Ste 352
Woodland Hills, CA 91364-2472

Phone

(818) 860-6310

Fax

(818) 860-6310

NPI assigned

Nov 2, 2017

Last updated

Nov 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nimfa Simbulan

Title

President

Phone

(818) 860-6310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 13

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.

• Rosalie Diaz Cantuba, NP

  • Family Nurse Practitioner
  • Granada Hills, CA
  • NPI 1811574874
  Medicare reassignment NPD
• James Conrad Javier Contreras

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1033586870
  Medicare reassignment NPD
• Gregorio L De Grano, NP

  • Family Nurse Practitioner
  • Northridge, CA
  • NPI 1417392176
  Medicare reassignment NPD
• Yeranuhi Yera Hambardzumyan

  • Family Nurse Practitioner
  • Thousand Oaks, CA
  • NPI 1295565562
  Medicare reassignment NPD
• Nidhi Kumar Madana, R.N., F.N.P

  • Family Nurse Practitioner
  • Culver City, CA
  • NPI 1225479660
  Medicare reassignment NPD
• Lilibeth O Ramirez, NP-C

  • Family Medicine Physician
  • Porter Ranch, CA
  • NPI 1497964688
  Medicare reassignment NPD
• Christine Simbulan-Dizon, DNP, MSN, APRN, FNPC

  • Family Nurse Practitioner
  • Granada Hills, CA
  • NPI 1508298894
  Medicare reassignment NPD
• Shylee Bautista Tiamson, NP

  • Family Nurse Practitioner
  • West Covina, CA
  • NPI 1053779322
  Medicare reassignment NPD
• Karen Valerio, FNP-BC

  • Family Nurse Practitioner
  • Granada Hills, CA
  • NPI 1528743820
  Medicare reassignment NPD
• Jasmine Petrosyan

  • Primary Care Nurse Practitioner
  • Glendale, CA
  • NPI 1558717314
  Medicare reassignment
• Jack E Rubin, M.D.

  • Nephrology Physician
  • Inglewood, CA
  • NPI 1346236205
  Medicare reassignment
• Jack Azad, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1841489440
  NPD

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1407368236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD STE 352",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642472",
            "telephone_number": "818-860-6310",
            "fax_number": "818-860-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD STE 352",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642472",
            "telephone_number": "818-860-6310",
            "fax_number": "818-860-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "SIMBULAN",
        "authorized_official_first_name": "NIMFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-860-6310",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arika Inugami

• Primary Care Nurse Practitioner in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.