Active NPI
Senior Care Medical Group, Inc.
Doing business as Senior Care IPA
- Geriatric Medicine (Family Medicine) Physician
- San Fernando, CA
National Provider Identifier
1477386464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- SENIOR CARE MEDICAL GROUP, INC.
- Doing business as
- Senior Care IPA
- Practice address
- 501 N Maclay Ave
San Fernando, CA 91340-2424 - Phone
- (310) 709-4890
- Fax
- (818) 361-4630
- NPI assigned
- Aug 23, 2024
- 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
- Dr. Robert Partovy, DO
- Title
- Ceo
- Phone
- (310) 709-4890
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
501 N Maclay Ave
San Fernando, CA 91340-2424
Mailing address
PO Box 920970
Sylmar, CA 91392-0970
Phone (310) 709-4890
Other names 1
- Senior Care IPA
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- San Fernando, CA
- NPI 1063591477
-
- Family Medicine Physician
- San Fernando, CA
- NPI 1851495154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724371200000",
"number": "1477386464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 920970",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913920970",
"telephone_number": "310-709-4890",
"fax_number": "818-361-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N MACLAY AVE",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913402424",
"telephone_number": "310-709-4890",
"fax_number": "818-361-4630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR CARE MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "PARTOVY",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-709-4890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Senior Care IPA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Fernando, CA
- Princess Schoendorf
- Sarah Rachel Schwartz, PA-C
- Merizhan Maratovich Seidakhmetov, DME SUPPLIER
- Richard Lewis Seidman, M.D.
- Select CS Physical Therapy, P.C. (Select Physical Therapy)
- Sentinel Health Medical Group, Inc.
- Serenity Sleep&Diagnostics Inc
- Arusyak Serobyan
- Brenda Michelle Serpas
- Lidia Alonso Shadrick, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.