Organization Active NPI

Gary L. Arends Jr., D.O. Apc

  • Sports Medicine (Family Medicine) Physician
  • Burbank, CA
National Provider Identifier
1982741914
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
20A8430 Issued in CA
Legal business name
GARY L. ARENDS JR., D.O. APC
Practice address
201 S. Buena Vista St.
Suite #410
Burbank, CA 91505-4554
Phone
(818) 845-5332
Fax
(818) 557-7781
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Gary L. Arends Jr., D.O.
Title
President / Ceo
Phone
(818) 845-5332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X 20A8430 CA Primary

Addresses

Primary practice location

201 S. Buena Vista St.
Suite #410
Burbank, CA 91505-4554

Mailing address

201 S. Buena Vista St.
Suite #410
Burbank, CA 91505-4554
Phone (818) 845-5332

Other identifiers 2

IdentifierTypeStateIssuer
0020A84300MedicaidCA
20A8430OtherCALICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1982741914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S. BUENA VISTA ST.",
            "address_2": "SUITE #410",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054554",
            "telephone_number": "818-845-5332",
            "fax_number": "818-557-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. BUENA VISTA ST.",
            "address_2": "SUITE #410",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054554",
            "telephone_number": "818-845-5332",
            "fax_number": "818-557-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. ARENDS JR., D.O. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "ARENDS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "818-845-5332",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A8430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020A84300",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "20A8430",
            "state": "CA"
        }
    ],
    "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 Jan 20, 2011; 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.