NPIMap

Organization Active NPI

Glendale Fidelity Medical Group Inc

  • Orthopaedic Surgery Physician
  • Glendale, CA
National Provider Identifier
1801915327
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A38702 Issued in CA
Legal business name
GLENDALE FIDELITY MEDICAL GROUP INC
Practice address
815 E Colorado St
Ste 110a
Glendale, CA 91205-1200
Phone
(818) 242-1910
Fax
(818) 242-1990
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Moris Elie, MDNPI 1912071952
Title
Director
Phone
(818) 242-1910

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1924 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A64420 CA
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X A38702 CA Primary

Addresses

Primary practice location

815 E Colorado St
Ste 110a
Glendale, CA 91205-1200

Mailing address

815 E Colorado St
Ste 110a
Glendale, CA 91205-1200
Phone (818) 242-1910

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1801915327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E COLORADO ST",
            "address_2": "STE 110A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051200",
            "telephone_number": "818-242-1910",
            "fax_number": "818-242-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E COLORADO ST",
            "address_2": "STE 110A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051200",
            "telephone_number": "818-242-1910",
            "fax_number": "818-242-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE FIDELITY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ELIE",
        "authorized_official_first_name": "MORIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-242-1910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "1924",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64420",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A38702",
            "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 Sep 11, 2025; 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.