Nueva Vida Medical Center Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

NUEVA VIDA MEDICAL CENTER INC

Practice address

14443 Titus St
Panorama City, CA 91402-5251

Phone

(747) 777-3445

NPI assigned

Aug 6, 2025

Organization subpart

No

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

Authorized official

Name

Richard Hubbard, MDNPI 1912121799

Title

Ceo/Owner

Phone

(747) 777-3445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Henry Hubbard, M.D., J.D.

  • Specialist
  • Calexico, CA
  • NPI 1912121799
  Medicare reassignment NPD Authorized official
• Shushanik Agaronyan, NP

  • Nurse Practitioner
  • Van Nuys, CA
  • NPI 1417806753

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1639054042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14443 TITUS ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025251",
            "telephone_number": "747-777-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14443 TITUS ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025251",
            "telephone_number": "747-777-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVA VIDA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "747-777-3445",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nourian Dental Group, Inc.
• Nourian Dental Inc.
• Nathan A Nourian, DDS
• Lisa Dawn Novalis-Heshejin, SLP
• Novida Home Health Inc.
• Nueva Vida Medical Group Inc
• Nutri Solutions Inc
• Nutrition Link
• Sarah Lee O'Brien, M.D.
• Rosemary Occhiogrosso, CNM

• Geriatric Medicine (Family Medicine) Physician in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.