NPIMap

Organization Active NPI

Nexus Medical Group, Inc

  • Family Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1700360088
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEXUS MEDICAL GROUP, INC
Doing business as
Nexus Medical Group, Inc
Practice address
14856 Vanowen St
Van Nuys, CA 91405-3828
Phone
(818) 616-9575
NPI assigned
Sep 21, 2018
Last updated
Nov 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Richard Hubbard, MD
Title
Ceo
Phone
(818) 616-9575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

14856 Vanowen St
Van Nuys, CA 91405-3828

Mailing address

14856 Vanowen St
Van Nuys, CA 91405-3828
Phone (818) 616-9575

Other identifiers 1

IdentifierTypeStateIssuer
C31257OtherCACA MED LIC

Other names 1

  • Nexus Medical Group, Inc Doing business as

National Provider Directory

National Provider Directory

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": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1700360088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14856 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053828",
            "telephone_number": "818-616-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14856 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053828",
            "telephone_number": "818-616-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-616-9575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MED LIC",
            "identifier": "C31257",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexus Medical Group, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nexus Medical Group, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.