Prime Health Medical Clinic

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

PRIME HEALTH MEDICAL CLINIC

Practice address

3214 Honolulu Ave
La Crescenta, CA 91214-3327

Phone

(818) 369-7022

NPI assigned

Jul 3, 2026

Organization subpart

No

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

Authorized official

Name

Ezequiel Suarez, MD

Title

Ceo/ Owner

Phone

(818) 369-7022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1801713367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 HONOLULU AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 HONOLULU AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143327",
            "telephone_number": "818-369-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-03",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "EZEQUIEL",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "818-369-7022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.