FAMILY MEDICINE CENTER AND DESCANSO FAMILY PRACTICE – NPI #1801851043
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

FAMILY MEDICINE CENTER AND DESCANSO FAMILY PRACTICE is a provider located in GLENDALE, CA. NPPES has assigned the NPI number 1801851043 to FAMILY MEDICINE CENTER AND DESCANSO FAMILY PRACTICE on April 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY MEDICINE CENTER AND DESCANSO FAMILY PRACTICE” is a dba name, the actual legal business name for this organization is FAMILY PRACTICE OF GLENDALE A MEDICAL CORPORATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Apr 14, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY MEDICINE CENTER AND DESCANSO FAMILY PRACTICE below.

NPI Profile for
FAMILY PRACTICE OF GLENDALE A MEDICAL CORPORATION

NPI Number
1801851043
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILY PRACTICE OF GLENDALE A MEDICAL CORPORATION
Doing Business As (dba): FAMILY MEDICINE CENTER AND DESCANSO FAMILY PRACTICE
Primary location
801 S CHEVY CHASE DR STE 230
GLENDALE, CA 91205-4436
Phone: (818) 500-5586 Fax: (818) 500-5587
1 Other location(s):
1818 Verdugo Blvd Ste 200
Glendale, CA 91208-1408
Phone: (818) 790-1088
Fax: (818) 790-1778
Mailing address
1125 E BROADWAY
BOX 71
GLENDALE, CA 91205-1315
Phone: (818) 500-5586 Fax: (818) 500-5583
Organization Subpart
No
Authorized Official
SIRVARD KHANOYAN
PROGRAM DIRECTOR/ OFFICER/A.O.
Phone: (818) 445-7143
Updated
Certification Date
Apr 14, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FAMILY MEDICINE CENTER AND DESCANSO FAMILY PRACTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0044710
MEDICAIDCAGR0044711
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
207RA0401X
- Internal Medicine / Addiction Medicine
207R00000X
- Internal Medicine
207QG0300X
- Family Medicine / Geriatric Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.