Organization Active NPI

NNMD Group Inc

  • General Practice Physician
  • North Hollywood, CA
National Provider Identifier
1801226022
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A 11989 Issued in CA
Legal business name
NNMD GROUP INC
Practice address
12826 Victory Blvd
Suite 5
North Hollywood, CA 91606-3013
Phone
(818) 760-8990
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Namiko Nerio, M.D.
Title
Ceo
Phone
(818) 760-8990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 20A 11989 CA Primary

Addresses

Primary practice location

12826 Victory Blvd
Suite 5
North Hollywood, CA 91606-3013

Mailing address

12826 Victory Blvd
Suite 5
North Hollywood, CA 91606-3013
Phone (818) 760-8990

National Provider Directory

National Provider Directory

Locations

12826 Victory Blvd
Ste 5
North Hollywood, CA 91606
Phone (818) 670-8990

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1801226022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD",
            "address_2": "SUITE 5",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063013",
            "telephone_number": "818-760-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD",
            "address_2": "SUITE 5",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063013",
            "telephone_number": "818-760-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NNMD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "NERIO",
        "authorized_official_first_name": "NAMIKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-760-8990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A 11989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.