NPIMap

Organization Active NPI

Integrated Allied Medical Group

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1649970740
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTEGRATED ALLIED MEDICAL GROUP
Practice address
313 E Providencia Ave Apt F
Burbank, CA 91502-2720
Phone
(323) 528-2781
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Majalia Rivera
Title
Ceo
Phone
(323) 528-2781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

313 E Providencia Ave Apt F
Burbank, CA 91502-2720

Mailing address

313 E Providencia Ave Apt F
Burbank, CA 91502-2720
Phone (323) 528-2781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230607001430 CA Part B Supplier - Clinic/Group Practice 6204293228 Receives reassigned benefits from 21 practitioners
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1649970740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E PROVIDENCIA AVE APT F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022720",
            "telephone_number": "323-528-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E PROVIDENCIA AVE APT F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022720",
            "telephone_number": "323-528-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED ALLIED MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MAJALIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-528-2781",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.