Active NPI
Advanced Health Medical Group Inc
- Internal Medicine Physician
- Burbank, CA
National Provider Identifier
1972679280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ADVANCED HEALTH MEDICAL GROUP INC
- Practice address
- 401 S Glenoaks Blvd
#101
Burbank, CA 91502 - Phone
- (818) 848-1555
- Fax
- (818) 842-9323
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hakop Gevorkyan, MD
- Title
- President
- Phone
- (818) 848-1555
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
401 S Glenoaks Blvd
#101
Burbank, CA 91502
Mailing address
401 S Glenoaks Blvd
#101
Burbank, CA 91502
Phone (818) 848-1555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050418000764 | CA | Part B Supplier - Clinic/Group Practice | 5698713055 |
Receives reassigned benefits from 5 practitioners Practice locations: Burbank, CA |
National Provider Directory
National Provider DirectoryLocations
333 E Magnolia Blvd
Ste 103
Burbank, CA 91502
Phone (818) 848-1555
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221609600000",
"number": "1972679280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S GLENOAKS BLVD",
"address_2": "#101",
"city": "BURBANK",
"state": "CA",
"postal_code": "91502",
"telephone_number": "818-848-1555",
"fax_number": "818-842-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S GLENOAKS BLVD",
"address_2": "#101",
"city": "BURBANK",
"state": "CA",
"postal_code": "91502",
"telephone_number": "818-848-1555",
"fax_number": "818-842-9323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED HEALTH MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2008-09-17",
"status": "A",
"authorized_official_last_name": "GEVORKYAN",
"authorized_official_first_name": "HAKOP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-848-1555",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
- Advance Sleep Center Inc
- Advanced Chiropractic Offices
- Advanced Diagnostic Services LLC
- Advanced Gi Consultants Medical Group, Inc.
- Advanced Gynecology Solutions, Inc.
- Advanced Pain Medical Group
- Advanced Pain Medical Group, Inc
- Advanced Reflection Inc
- Advanced Wellness West Valley Medical Group Inc
- Advent Home Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.