Vivo Medical Group Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VIVO MEDICAL GROUP INC

Practice address

1030 S Glendale Ave Ste 502
Glendale, CA 91205-2820

Phone

(747) 228-6861

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Edward Azar, MD

Title

Ceo/Medical Director

Phone

(415) 516-4969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1407587942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 502",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052820",
            "telephone_number": "747-228-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 502",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052820",
            "telephone_number": "747-228-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVO MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-516-4969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vituity - Primary Care Glendale PC
• Gary R. Vitullo, DC
• Vivat Skilled Nursing, Inc.
• Vivenza Medical Group Apmc
• Vivia Behavioral Services Inc
• Thu Anh Vo, LMFT
• Rosann Volmert, D.O
• Vons Companies Inc (Vons Pharmacy #2254)
• Kati Vonseggern
• Vortex Management Inc. (Grandcare Home Health Services)

• Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.