NPIMap

Organization Active NPI

Burbank East Valley Medical Group

  • Internal Medicine Physician
  • Burbank, CA
National Provider Identifier
1881616928
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BURBANK EAST VALLEY MEDICAL GROUP
Practice address
201 S Buena Vista St
3Rd Floor
Burbank, CA 91505-4569
Phone
(818) 842-7145
Fax
(818) 842-8279
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael MarshNPI 1619992047
Title
M.D.
Phone
(818) 842-7145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

201 S Buena Vista St
3Rd Floor
Burbank, CA 91505-4569

Mailing address

PO Box 10240
Canoga Park, CA 91309-1240
Phone (818) 704-4301

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881616928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10240",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913091240",
            "telephone_number": "818-704-4301",
            "fax_number": "818-704-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST",
            "address_2": "3RD FLOOR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054569",
            "telephone_number": "818-842-7145",
            "fax_number": "818-842-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK EAST VALLEY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "818-842-7145"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.