Pine Medical Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PINE MEDICAL CARE

Practice address

13630 Van Nuys Blvd Ste 107
Pacoima, CA 91331-3668

Phone

(323) 455-3595

Fax

(323) 405-0255

NPI assigned

Feb 28, 2025

Last updated

Feb 28, 2025By 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

Stephen Pine, M.D

Title

Owner

Phone

(323) 455-3595

Specialties & licenses 1

Addresses

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.

• Siranush Grigoryan

  • Family Nurse Practitioner
  • Pacoima, CA
  • NPI 1093582546

  Multi-Specialty

  NPD
• Stefan Ruehm, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1669416632
  NPD

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1942007539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 VAN NUYS BLVD STE 107",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313668",
            "telephone_number": "323-455-3595",
            "fax_number": "323-405-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 VAN NUYS BLVD STE 107",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313668",
            "telephone_number": "323-455-3595",
            "fax_number": "323-405-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "PINE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-455-3595",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie Perryman
• Patti Ann Peterson, L.V.N.
• PGL LLC
• Pierce Congregate Living LLC
• Mariah Pignone, P.A.
• Pioneer Home Health Services Inc
• Edwin Porres Jr.
• Andrea Portillo
• Priscilla Powell
• Kathleen A Price

• Internal Medicine Physician in Pacoima, CA
• Providers in Pacoima, CA by specialty
• Internal Medicine Physician in California

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