Glendora Medical Associates

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

A25167 Issued in CA

Legal business name

GLENDORA MEDICAL ASSOCIATES

Practice address

405 E. Alosta
Glendora, CA 91740

Phone

(626) 335-0208

Fax

(626) 857-9418

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Plaridel Cerna Atil, M.D.

Title

Owner/President

Phone

(626) 335-0208

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1497941363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1433",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917401433",
            "telephone_number": "626-335-0208",
            "fax_number": "626-857-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E. ALOSTA",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-335-0208",
            "fax_number": "626-857-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDORA MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "ATIL",
        "authorized_official_first_name": "PLARIDEL",
        "authorized_official_middle_name": "CERNA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "626-335-0208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A25167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A251670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glendora Chiropractic Center
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• Glendora Family Counseling, a Professional Corporation
• Glendora Family Therapy, Inc
• Glendora Grand, Inc.
• Glendora Optometry Apc
• Glendora Pediatrics Med Group Inc
• Glendora Recovery Center
• Glendora Sports Medicine
• Glendora Surgery Center

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.