Active NPI
MNS Medical Group
- Primary Care Nurse Practitioner
- Glendale, CA
National Provider Identifier
1750820478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- MNS MEDICAL GROUP
- Practice address
- 1110 Sonora Ave
Glendale, CA 91201-1952 - Phone
- (818) 649-1248
- NPI assigned
- Feb 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Cruz
- Title
- Vice President
- Phone
- (818) 649-1248
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
1110 Sonora Ave
Glendale, CA 91201-1952
Mailing address
1922 Calle Sirena
Glendale, CA 91208-3033
National Provider Directory
National Provider DirectoryLocations
1110 Sonora Ave
Glendale, CA 91201
Phone (818) 649-1248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487030400000",
"number": "1750820478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 CALLE SIRENA",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912083033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 SONORA AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011952",
"telephone_number": "818-649-1248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MNS MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-14",
"last_updated": "2017-02-14",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "818-649-1248"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.