Individual provider Active NPI

George Flanigan III, MD

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1477894889
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A47749 Issued in CA
Practice address
1510 W Verdugo Ave Ste F
Burbank, CA 91506-2473
Phone
(818) 861-7755
NPI assigned
Mar 11, 2013
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A47749 CA Primary
Obstetrics & Gynecology Physician 207V00000X A47749 CA

Addresses

Primary practice location

1510 W Verdugo Ave Ste F
Burbank, CA 91506-2473

Mailing address

1510 W Verdugo Ave Ste F
Burbank, CA 91506-2473
Phone (818) 861-7755

Other identifiers 1

IdentifierTypeStateIssuer
A47749OtherCACAL MED LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000171 CA Practitioner - Family Practice 9830083567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verdugo Medical Care IncGroup PAC ID 0042562761, 2 clinicians

Practice addresses (Care Compare)

1004 W Magnolia Blvd
Burbank, CA 91506-1607
Phone (818) 861-7755

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue17
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A47749CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verdugo Medical Care, Inc Family Medicine CurrentSince Jul 23, 2018 Accepting new patients
Total Care Medical Clinic Inc CurrentSince Oct 1, 2014 Accepting new patients
Global Medical Clinic PastSince Oct 1, 2014 Accepting new patients

Locations

1004 W Magnolia Blvd
Burbank, CA 91506
Phone (818) 841-8065

1510 W Verdugo Ave
Ste F
Burbank, CA 91506
Phone (747) 744-1144

10024 S Vermont Ave
Los Angeles, CA 90044
Phone (323) 242-0139

1110 W Anaheim St
Ste 6
Wilmington, CA 90744
Phone (310) 753-2468

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1477894889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W VERDUGO AVE STE F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062473",
            "telephone_number": "818-861-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W VERDUGO AVE STE F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062473",
            "telephone_number": "818-861-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANIGAN",
        "first_name": "GEORGE",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A47749",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A47749",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL MED LIC",
            "identifier": "A47749",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.