Mensa Family Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MENSA FAMILY CLINIC INC

Practice address

1110 S Glendale Ave Ste E
Glendale, CA 91205-5623

Phone

(818) 945-5502

Fax

(818) 945-5595

NPI assigned

Feb 28, 2019

Last updated

Feb 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Svetlana Viktorovna Gorelikova, MDNPI 1699953604

Title

President

Phone

(818) 945-5502

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Svetlana Gorelikova, M.D.

  • Family Medicine Physician
  • Palmdale, CA
  • NPI 1699953604
  Medicare reassignment NPD Authorized official
• Bernadette De Lara Guia, N.P.

  • Family Nurse Practitioner
  • Panorama City, CA
  • NPI 1376911131
  Medicare reassignment NPD

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1871050559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S GLENDALE AVE STE E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055623",
            "telephone_number": "818-945-5502",
            "fax_number": "818-945-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S GLENDALE AVE STE E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055623",
            "telephone_number": "818-945-5502",
            "fax_number": "818-945-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENSA FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "GORELIKOVA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_middle_name": "VIKTOROVNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-945-5502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A102339",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Menendez Integral Pediatrics, Inc.
• Eduardo Menendez
• Richard Menendez, M.D.
• Claudia I Menjivar, RBT
• Sandra Menjivar
• Mensa Hospice Care Inc.
• Elizabeth-Bree Meras
• Alfredo Manuel Mercado Jr.
• Merci Pharmacy Inc (Merci Pharmacy)
• Joseph Kevork Merdkhanian, D.C.

• Family Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.