GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC – NPI #1912963364
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC is a provider located in GLENDALE, CA. NPPES has assigned the NPI number 1912963364 to GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC on April 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 3 years ago on Jul 18, 2023. 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 GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC below.

NPI Profile for
GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC

NPI Number
1912963364
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
GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC
Primary location
500 N CENTRAL AVE STE 800
GLENDALE, CA 91203-3345
Phone: (818) 242-4191 Fax: (818) 242-4811
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMIR RAFIE
PRESIDENT
Phone: (818) 242-4191
Updated
Certification Date
Jul 18, 2023

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 GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC

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
medicaidCAZZZ77955Z
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
207RI0011X
- Internal Medicine / Interventional Cardiology

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.