Progress Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A53350 Issued in CA

Legal business name

PROGRESS MEDICAL CLINIC INC

Practice address

7601 Canby Ave
Suite #7
Reseda, CA 91335-2974

Phone

(818) 757-1919

Fax

(818) 757-3134

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Svetlana Baranovsky, MD

Title

Owner

Phone

(818) 757-1919

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467545855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CANBY AVE",
            "address_2": "SUITE #7",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352974",
            "telephone_number": "818-757-1919",
            "fax_number": "818-757-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 CANBY AVE",
            "address_2": "SUITE #7",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352974",
            "telephone_number": "818-757-1919",
            "fax_number": "818-757-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARANOVSKY",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-757-1919",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.