NPIMap

Organization Active NPI

MVP Medical Group-a Professional Nursing Corporation

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1902651292
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MVP MEDICAL GROUP-A PROFESSIONAL NURSING CORPORATION
Practice address
3100 W Burbank Blvd Ste 105
Burbank, CA 91505-2348
Phone
(818) 405-7764
NPI assigned
Apr 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Mayranush Aslibekyan, NPNPI 1538893151
Title
Business Owner
Phone
(818) 405-7764

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3100 W Burbank Blvd Ste 105
Burbank, CA 91505-2348

Mailing address

3100 W Burbank Blvd Ste 105
Burbank, CA 91505-2348
Phone (818) 405-7764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240522004079 CA Part B Supplier - Clinic/Group Practice 9436591492 Receives reassigned benefits from 13 practitioners
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

3100 W Burbank Blvd
Ste 105
Burbank, CA 91505
Phone (562) 313-8090

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1902651292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W BURBANK BLVD STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052348",
            "telephone_number": "818-405-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W BURBANK BLVD STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052348",
            "telephone_number": "818-405-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP MEDICAL GROUP-A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "ASLIBEKYAN",
        "authorized_official_first_name": "MAYRANUSH",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "818-405-7764",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "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 Apr 19, 2024; 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.