Multi Care Medical Clinic Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MULTI CARE MEDICAL CLINIC INC.

Practice address

13754 Victory Blvd
Van Nuys, CA 91401-2324

Phone

(818) 616-1373

Fax

(818) 616-1384

NPI assigned

Sep 9, 2019

Last updated

Sep 9, 2019By 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

Krikor B. Tatoyan, M.D.NPI 1598936726

Title

Owner

Phone

(818) 422-7646

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Krikor B Tatoyan, M.D.

  • Surgery Physician
  • Van Nuys, CA
  • NPI 1598936726
  Medicare reassignment NPD Authorized official
• Ahmadali Hamidi, MD

  • Family Medicine Physician
  • Van Nuys, CA
  • NPI 1326024563
  Medicare reassignment NPD
• Anna Mezentseva, FNP

  • Family Nurse Practitioner
  • Van Nuys, CA
  • NPI 1316393820
  Medicare reassignment NPD

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1407405855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900270206",
            "telephone_number": "213-385-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13754 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012324",
            "telephone_number": "818-616-1373",
            "fax_number": "818-616-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI CARE MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "TATOYAN",
        "authorized_official_first_name": "KRIKOR",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-422-7646",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrew Frederick Martin Mumm
• Munaf a. Shamji, MD, Inc.

• General Practice Physician in Van Nuys, CA
• Providers in Van Nuys, 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 Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.