Organization Active NPI

FLM Medical Clinic Apc

  • Internal Medicine Physician
  • Reseda, CA
National Provider Identifier
1992717367
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A51480 Issued in CA
Legal business name
FLM MEDICAL CLINIC APC
Practice address
18445 Vanowen St
Reseda, CA 91335-5324
Phone
(818) 708-8484
Fax
(818) 881-7451
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Joselito Ponce Babaran, M.D.NPI 1225072564
Title
Medical Director
Phone
(818) 708-8484

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A51480 CA Primary

Addresses

Primary practice location

18445 Vanowen St
Reseda, CA 91335-5324

Mailing address

18445 Vanowen St
Reseda, CA 91335-5324
Phone (818) 708-8484

National Provider Directory

National Provider Directory

Locations

18445 Vanowen St
Reseda, CA 91335
Phone (818) 708-8484

Practitioners & affiliated clinicians

Practitioners 1

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1992717367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18445 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355324",
            "telephone_number": "818-708-8484",
            "fax_number": "818-881-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18445 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355324",
            "telephone_number": "818-708-8484",
            "fax_number": "818-881-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLM MEDICAL CLINIC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "BABARAN",
        "authorized_official_first_name": "JOSELITO",
        "authorized_official_middle_name": "PONCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-708-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.