NPIMap

Organization Active NPI

La Canada Multi-Specialty Group Inc

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1427454974
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101387 Issued in CA
Legal business name
LA CANADA MULTI-SPECIALTY GROUP INC
Practice address
3217 N Verdugo Rd Ste 2
Glendale, CA 91208-1675
Phone
(818) 550-0702
Fax
(818) 550-0705
NPI assigned
Nov 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Zarine Ter-Poghosyan, M.D
Title
Owner
Phone
(818) 550-0702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A101387 CA Primary

Addresses

Primary practice location

3217 N Verdugo Rd Ste 2
Glendale, CA 91208-1675

Mailing address

3217 N Verdugo Rd Ste 2
Glendale, CA 91208-1675
Phone (818) 550-0702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1427454974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 N VERDUGO RD STE 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081675",
            "telephone_number": "818-550-0702",
            "fax_number": "818-550-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 N VERDUGO RD STE 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081675",
            "telephone_number": "818-550-0702",
            "fax_number": "818-550-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CANADA MULTI-SPECIALTY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "TER-POGHOSYAN",
        "authorized_official_first_name": "ZARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-550-0702",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101387",
            "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 Dec 5, 2014; 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.