NPIMap

Organization Active NPI

York Family Medical Clinic Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1437784360
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
YORK FAMILY MEDICAL CLINIC INC
Practice address
5417 York Blvd
Los Angeles, CA 90042-2401
Phone
(323) 254-2811
Fax
(323) 254-1788
NPI assigned
Mar 11, 2020
Last updated
Mar 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Ayuna Panossian, MD
Title
Owner
Phone
(323) 254-2811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5417 York Blvd
Los Angeles, CA 90042-2401

Mailing address

5417 York Blvd
Los Angeles, CA 90042-2401
Phone (323) 254-2811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1437784360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 YORK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900422401",
            "telephone_number": "323-254-2811",
            "fax_number": "323-254-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 YORK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900422401",
            "telephone_number": "323-254-2811",
            "fax_number": "323-254-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK FAMILY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "PANOSSIAN",
        "authorized_official_first_name": "AYUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-254-2811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.