Infiniti Medical Services, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INFINITI MEDICAL SERVICES, PC

Practice address

3111 Winona Ave
Burbank, CA 91504-2538

Phone

(310) 909-8979

Fax

(305) 440-0906

NPI assigned

Dec 9, 2021

Last updated

Jun 22, 2022By 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

Avery M WilliamsNPI 1386292878

Title

Owner

Phone

(925) 321-6353

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Avery M Williams, PHLEBOTOMY, EMT

  • Phlebotomy Technician
  • Murrieta, CA
  • NPI 1386292878
  NPD Authorized official

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1871252536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 WINONA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042538",
            "telephone_number": "310-909-8979",
            "fax_number": "305-440-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 WINONA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042538",
            "telephone_number": "310-909-8979",
            "fax_number": "305-440-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITI MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AVERY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-321-6353"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Burbank, CA
• Providers in Burbank, 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 Jun 22, 2022; 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.