Verdugo Medical Group, Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

00A334650 Issued in CA

Legal business name

VERDUGO MEDICAL GROUP, INC

Practice address

1508 W Verdugo Ave Ste C
Burbank, CA 91506-2446

Phone

(818) 954-0208

Fax

(818) 954-0029

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mehmet Kasim, M.D.NPI 1740374396

Title

President

Phone

(818) 954-0208

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Women's Center of Burbank/Verdugo Women's Health & family Medical Cent Doing business as

Tax ID family

Clinica Medica Nationale2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Verdugo Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Sun Valley, CA
  • NPI 1316024565
  NPD tax ID

Locations

Practitioners 1

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

• Mehmet Kasim, M.D.

  • Obstetrics & Gynecology Physician
  • Burbank, CA
  • NPI 1740374396
  NPD (past) Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952407975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W VERDUGO AVE STE C",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062446",
            "telephone_number": "818-954-0208",
            "fax_number": "818-954-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W VERDUGO AVE STE C",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062446",
            "telephone_number": "818-954-0208",
            "fax_number": "818-954-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUGO MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASIM",
        "authorized_official_first_name": "MEHMET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-954-0208",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "00A334650",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A31823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Center of Burbank/Verdugo Women's Health & family Medical Cent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Vera
• Sepideh Verdi
• Verdugo Medical Care, Inc
• Verdugo Medical Clinic a Professional Medical Corporation
• Verdugo Medical Group Corp
• Robert Verdugo, D.C.
• Lilyana Verdusco, AMFT
• Ever Vergara
• Ves HHA Inc
• Cianna Vespo

• Obstetrics & Gynecology Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Obstetrics & Gynecology Physician in California

• 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.