Active NPI
Gary L. Arends Jr., D.O. Apc
- Sports Medicine (Family Medicine) Physician
- Burbank, CA
National Provider Identifier
1982741914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 20A8430
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020A84300 | Medicaid | CA | |
| 20A8430 | Other | CA | LICENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.