Aurevia Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

AUREVIA MEDICAL GROUP

Practice address

320 N Central Ave Ste 100
Glendale, CA 91203-2961

Phone

(213) 290-0757

Fax

(626) 243-2600

NPI assigned

Sep 16, 2026

Organization subpart

No

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

Authorized official

Name

Anousheh Ashouri, MD

Title

Ceo

Phone

(213) 290-0757

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1477464410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N CENTRAL AVE STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032961",
            "telephone_number": "213-290-0757",
            "fax_number": "626-243-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N CENTRAL AVE STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032961",
            "telephone_number": "213-290-0757",
            "fax_number": "626-243-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUREVIA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "ASHOURI",
        "authorized_official_first_name": "ANOUSHEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-290-0757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.