Mercy Medical Group of Specialists

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MERCY MEDICAL GROUP OF SPECIALISTS

Practice address

421 E Angeleno Ave Ste 102
Burbank, CA 91501-2286

Phone

(818) 845-6800

Fax

(818) 843-7871

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Fakhriran Ghahari, MD

Title

Medical Director

Phone

(818) 845-6800

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1700898269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E ANGELENO AVE STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012286",
            "telephone_number": "818-845-6800",
            "fax_number": "818-843-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E ANGELENO AVE STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012286",
            "telephone_number": "818-845-6800",
            "fax_number": "818-843-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL GROUP OF SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "GHAHARI",
        "authorized_official_first_name": "FAKHRIRAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-845-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700898269",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloribell Mercado, LCSW
• Anne Mercurio
• Mercury Home Health Services Inc
• Mercury's Medical Transport Service LLC
• Mercy Hospice, LLC
• Kevork Merdkhanian, DC
• Susan Caroyln Merlino, CADC
• Merrick HHC, Inc.
• Abigail Merrin, DPT
• Raffi-Jean O Mesrobian, MD

• Family Medicine Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.