Glenoaks Medical Care

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A47749 Issued in CA

Legal business name

GLENOAKS MEDICAL CARE

Doing business as

Glenoaks Medical Care

Practice address

8730 Glenoaks Blvd
Sun Valley, CA 91352-2801

Phone

(818) 767-8811

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Mr. George D Flanigan III, MD

Title

Owner

Phone

(818) 767-8811

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glenoaks Medical Care Doing business as

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1497143812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 GLENOAKS BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522801",
            "telephone_number": "818-767-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 GLENOAKS BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522801",
            "telephone_number": "818-767-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENOAKS MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "FLANIGAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-767-8811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A47749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A47749",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenoaks Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alexis Gonzalez
• Cryzel Palmira Gonzalez, LCSW

• Adult Medicine Physician in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.