Active NPI
Santo Nino Medical Group
- Internal Medicine Physician
- Panorama City, CA
National Provider Identifier
1427989797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenn A Marshak, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Beverly Hills, CA
- NPI 1104890029
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.