Active NPI
Elizabeth Remedios, MD
- Family Medicine Physician
- Glendale, CA
National Provider Identifier
1639273105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G55283
- Practice address
- 423 W Colorado Blvd
Glendale, CA 91204 - Phone
- (818) 507-8000
- Fax
- (818) 507-8185
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G55283 | CA | Primary |
Addresses
Primary practice location
423 W Colorado Blvd
Glendale, CA 91204
Mailing address
PO Box 27206
Los Angeles, CA 90027-0206
Phone (213) 385-0675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G552830 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55283 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1639273105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900270206",
"telephone_number": "213-385-0675",
"fax_number": "213-365-6429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 W COLORADO BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91204",
"telephone_number": "818-507-8000",
"fax_number": "818-507-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMEDIOS",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G55283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G552830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
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- Reliance Home Health Care, Inc.
- Roi Gerrick Lamco Relosa
- Rely Home Health, Inc.
- Relyable Hospice and Palliative Care Inc
- Remedy Drugs Broadway Inc (Broadway Remedy Pharmacy)
- Remedy Drugs Broadway Inc (Broadway Remedy Pharmacy)
- Remedy Medical of California PC
- Michelle Remy, DNP
- Renaissance Home Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.