Organization Active NPI

Glenwest Medical Center, Inc.

Doing business as North Hills Medical Center

  • Internal Medicine Physician
  • North Hills, CA
National Provider Identifier
1699924019
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A10524 Issued in CA
Legal business name
GLENWEST MEDICAL CENTER, INC.
Doing business as
North Hills Medical Center
Practice address
8719 Woodley Ave
North Hills, CA 91343-4729
Phone
(818) 920-1232
NPI assigned
Sep 10, 2008
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Dr. Gevork Maissian, D.O.NPI 1639320658
Title
President/Doctor
Phone
(818) 243-1186

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20A10524 CA Primary

Addresses

Primary practice location

8719 Woodley Ave
North Hills, CA 91343-4729

Mailing address

8719 Woodley Ave
North Hills, CA 91343-4729
Phone (818) 920-1232

Other names 1

  • North Hills Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081229000447 CA Part B Supplier - Clinic/Group Practice 1254493208 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glendale, CA; North Hills, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1089977Glenwest Medical Center Inc8719 Woodley Ave, North Hills, CA 91343Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

8719 Woodley Ave
Sepulveda, CA 91343
Phone (818) 830-6181

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1699924019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8719 WOODLEY AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434729",
            "telephone_number": "818-920-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8719 WOODLEY AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434729",
            "telephone_number": "818-920-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWEST MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "MAISSIAN",
        "authorized_official_first_name": "GEVORK",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "818-243-1186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Hills Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.

Verify at the official NPI Registry.