Organization Active NPI

Santo Nino Medical Group

  • Internal Medicine Physician
  • Panorama City, CA
National Provider Identifier
1427989797
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SANTO NINO MEDICAL GROUP
Practice address
14860 Roscoe Blvd Ste 201
Panorama City, CA 91402-4689
Phone
(818) 206-3380
Fax
(818) 206-3390
NPI assigned
May 26, 2026
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Glenn A Marshak, M.D.NPI 1104890029
Title
Owner
Phone
(310) 553-5203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

14860 Roscoe Blvd Ste 201
Panorama City, CA 91402-4689

Mailing address

PO Box 15655
Beverly Hills, CA 90209-1655
Phone (818) 206-3380

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1427989797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15655",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902091655",
            "telephone_number": "818-206-3380",
            "fax_number": "818-206-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD STE 201",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024689",
            "telephone_number": "818-206-3380",
            "fax_number": "818-206-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTO NINO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "MARSHAK",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-553-5203",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.