Organization Active NPI

Neonatal Hospitalist Group, Inc

  • Neonatal-Perinatal Medicine Physician
  • Burbank, CA
National Provider Identifier
1699316695
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
NEONATAL HOSPITALIST GROUP, INC
Practice address
501 S Buena Vista St Nicu
Burbank, CA 91505-4809
Phone
(818) 847-6332
Fax
(818) 847-6339
NPI assigned
Oct 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Robert Gall, MD
Title
Partner
Phone
(818) 847-6332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X Primary

Addresses

Primary practice location

501 S Buena Vista St Nicu
Burbank, CA 91505-4809

Mailing address

9134 Sepulveda Blvd Unit 2626
North Hills, CA 91393-7032
Phone (818) 882-3430

Other identifiers 2

IdentifierTypeStateIssuer
STATEMedicaidCA
232302MedicaidCA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL mdacjb@aol.com
CONNECT URL https://secure.prod.healthaxis.net/ehealthcare/login

National Provider Directory

National Provider Directory

Locations

9134 Sepulveda Blvd
Unit 2626
North Hills, CA 91393

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1699316695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9134 SEPULVEDA BLVD UNIT 2626",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913937032",
            "telephone_number": "818-882-3430",
            "fax_number": "818-882-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BUENA VISTA ST NICU",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054809",
            "telephone_number": "818-847-6332",
            "fax_number": "818-847-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEONATAL HOSPITALIST GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "GALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "818-847-6332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "STATE",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232302",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mdacjb@aol.com",
            "affiliation": "Y",
            "address_1": "501 S Buena Vista St NICU",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.prod.healthaxis.net/ehealthcare/login",
            "affiliation": "N",
            "address_1": "501 S Buena Vista St NICU",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.