Active NPI
First Health Medical Group, Inc
- General Practice Physician
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G78177
- Legal business name
- FIRST HEALTH MEDICAL GROUP, INC
- Practice address
- 5352 Laurel Canyon Blvd Ste 110
North Hollywood, CA 91607-4938 - Phone
- (818) 206-2655
- NPI assigned
- Mar 8, 2011
- 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
- Michael Bazel, M.D.
- Title
- President
- Phone
- (818) 206-2655
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G78177 | CA | Primary |
Addresses
Primary practice location
5352 Laurel Canyon Blvd Ste 110
North Hollywood, CA 91607-4938
Mailing address
5352 Laurel Canyon Blvd Ste 110
North Hollywood, CA 91607-4938
Phone (818) 206-2655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2333368 | First Health Medical Group | Certificate of waiver | Nov 3, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Bell, CA
- NPI 1598712978
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1336769728
-
- Medical Physician Assistant
- Glendale, CA
- NPI 1417519588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299542400000",
"number": "1609174176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5352 LAUREL CANYON BLVD STE 110",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916074938",
"telephone_number": "818-206-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5352 LAUREL CANYON BLVD STE 110",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916074938",
"telephone_number": "818-206-2655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST HEALTH MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A",
"authorized_official_last_name": "BAZEL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-206-2655",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "G78177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.