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

Organization subpart

No

Name

Ms. Nimfa Simbulan

Title

President

Phone

(818) 860-6310

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

• Rosalie Diaz Cantuba, NP

  • Family Nurse Practitioner
  • Granada Hills, CA
  • NPI 1811574874

  CA

  Medicare reassignment NPD
• James Conrad Javier Contreras

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1033586870

  CA

  Medicare reassignment NPD
• Gregorio L De Grano, NP

  • Family Nurse Practitioner
  • Northridge, CA
  • NPI 1417392176

  CA

  Medicare reassignment NPD
• Yeranuhi Yera Hambardzumyan

  • Family Nurse Practitioner
  • Thousand Oaks, CA
  • NPI 1295565562

  CA

  Medicare reassignment NPD
• Nidhi Kumar Madana, R.N., F.N.P

  • Family Nurse Practitioner
  • Culver City, CA
  • NPI 1225479660

  CA

  Medicare reassignment NPD
• Lilibeth O Ramirez, NP-C

  • Family Medicine Physician
  • Porter Ranch, CA
  • NPI 1497964688

  CA

  Medicare reassignment NPD
• Christine Simbulan-Dizon, DNP, MSN, APRN, FNPC

  • Family Nurse Practitioner
  • Granada Hills, CA
  • NPI 1508298894

  CA

  Medicare reassignment NPD
• Shylee Bautista Tiamson, NP

  • Family Nurse Practitioner
  • West Covina, CA
  • NPI 1053779322

  CA

  Medicare reassignment NPD
• Karen Valerio, FNP-BC

  • Family Nurse Practitioner
  • Granada Hills, CA
  • NPI 1528743820

  CA

  Medicare reassignment NPD
• Jasmine Petrosyan

  • Primary Care Nurse Practitioner
  • Glendale, CA
  • NPI 1558717314

  CA

  Medicare reassignment
• Jack E Rubin, M.D.

  • Nephrology Physician
  • Inglewood, CA
  • NPI 1346236205

  CA

  Medicare reassignment
• Jack Azad, M.D.

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2017.

{
    "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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• All providers in Woodland Hills, CA
• 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.