NPIMap

Organization Active NPI

Glenoaks Medical Center, Inc.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1760526289
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A52175 Issued in CA
Legal business name
GLENOAKS MEDICAL CENTER, INC.
Practice address
1911 W Glenoaks Blvd Ste B
Glendale, CA 91201-4746
Phone
(818) 843-6640
Fax
(818) 843-0347
NPI assigned
Feb 17, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Laila Hanna II, M.D.NPI 1942348255
Title
President
Phone
(818) 843-6640

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 Physician 207R00000X A52175 CA Primary

Addresses

Primary practice location

1911 W Glenoaks Blvd Ste B
Glendale, CA 91201-4746

Mailing address

1911 W Glenoaks Blvd Ste B
Glendale, CA 91201-4746
Phone (818) 843-6640

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050804001054 CA Part B Supplier - Clinic/Group Practice 0042249542 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

1911 W Glenoaks Blvd
Ste B
Glendale, CA 91201
Phone (818) 843-6640

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21900/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1760526289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 W GLENOAKS BLVD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014746",
            "telephone_number": "818-843-6640",
            "fax_number": "818-843-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 W GLENOAKS BLVD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014746",
            "telephone_number": "818-843-6640",
            "fax_number": "818-843-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENOAKS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "LAILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-843-6640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52175",
            "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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.