ATHENACARE MEDICAL GROUP INC – NPI #1538025085
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

ATHENACARE MEDICAL GROUP INC is a provider located in GLENDALE, CA. NPPES has assigned the NPI number 1538025085 to ATHENACARE MEDICAL GROUP INC on December 29, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 ATHENACARE MEDICAL GROUP INC below.

NPI Profile for
ATHENACARE MEDICAL GROUP INC

NPI Number
1538025085
Enumeration Date

(about 5 months 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
ATHENACARE MEDICAL GROUP INC
Primary location
3857 FOOTHILL BLVD STE 1C
GLENDALE, CA 91214-1653
Phone: (818) 858-3087 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TAMARA PETROSYAN
CEO
Phone: (818) 858-3087
Updated
Certification Date
Dec 29, 2025

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.

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
208D00000X
- General Practice (Primary)

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.