Organization Active NPI

Regional Physician Services of California PC

Doing business as Matrix Medical Network

  • Internal Medicine Physician
  • Burbank, CA
National Provider Identifier
1962691857
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REGIONAL PHYSICIAN SERVICES OF CALIFORNIA PC
Doing business as
Matrix Medical Network
Practice address
303 N Glenoaks Blvd Ste 200
Burbank, CA 91502-1118
Phone
(480) 862-1677
Fax
(480) 718-7643
NPI assigned
Oct 17, 2007
Organization subpart
Yes
Parent organization
COMMUNITY CARE HEALTH NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Victoria Alvarez
Title
Director, Credentialing
Phone
(480) 862-1695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

303 N Glenoaks Blvd Ste 200
Burbank, CA 91502-1118

Mailing address

9201 E Mountain View Rd
Suite 220
Scottsdale, AZ 85258
Phone (480) 862-1700

Other names 1

  • Matrix Medical Network Doing business as

National Provider Directory

National Provider Directory
Part of
Community Care HLTH LLC

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1962691857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD",
            "address_2": "SUITE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-862-1700",
            "fax_number": "480-907-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N GLENOAKS BLVD STE 200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021118",
            "telephone_number": "480-862-1677",
            "fax_number": "480-718-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PHYSICIAN SERVICES OF CALIFORNIA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CARE HEALTH NETWORK INC",
        "enumeration_date": "2007-10-17",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING",
        "authorized_official_telephone_number": "480-862-1695"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix Medical Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matrix Medical Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2019; 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.