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GLENDALE PREMIER MEDICAL GROUP
NPI 1003956715
Family Medicine in Glendale, CA

Active since February 08, 2007
222 W EULALIA ST, #201, GLENDALE, CA 91204(818) 240-0601(818) 240-0687 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glendale Premier Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDALE PREMIER MEDICAL GROUP (NPI 1003956715) is a healthcare organization registered as a family medicine in Glendale, California and active in the NPI registry since February 2007. The organization lists Lainis Quevedo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003956715
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGLENDALE PREMIER MEDICAL GROUP
Location Address222 W EULALIA ST, #201Glendale, CA 91204-2849
Mailing Address222 W Eulalia St, #201Glendale, CA 91204-2849 · (818) 240-0601 · Fax (818) 240-0687
Phone(818) 240-0601
Fax(818) 240-0687
Organization SubpartNo
Authorized OfficialLainis QuevedoAdministrator · (818) 240-0662
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003956715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
222 W EULALIA ST, Glendale, CA 91204
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Other Identifiers 1

MedicaidGR0098110CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLENDALE ORTHOPAEDICS INC.
Orthopaedic Surgery
222 W EULALIA ST, SUITE 300
GLENDALE, CA 91204
Los Angeles County (818) 547-0608
DENA RAFIQ NASIR MD
Colon & Rectal Surgery
222 W EULALIA ST
GLENDALE, CA 91204
Los Angeles County (818) 730-3726
MS. MICHELLE DEWINDT P.A.-C
Physician Assistant (Medical)
222 W EULALIA ST, SUITE 200
GLENDALE, CA 91204
Los Angeles County (818) 956-8582
DR. LYDIA S BANGTSON PH.D.
Psychologist (Clinical)
222 W EULALIA ST, SUITE 301
GLENDALE, CA 91204
Los Angeles County (818) 240-0108
ROBERT BEART M.D.
Colon & Rectal Surgery
222 W EULALIA ST, SUITE 100A
GLENDALE, CA 91204
Los Angeles County (818) 244-8161
MS. MERCEDES F. MARUSCAK N.P.
Internal Medicine (Hematology & Oncology)
222 W EULALIA ST, 100-B
GLENDALE, CA 91204
Los Angeles County (818) 637-7611
MR. RAY BURTON BLOSS III PA-C
Physician Assistant
222 W EULALIA ST, SUITE #101
GLENDALE, CA 91204
Los Angeles County (818) 246-4800
DR. ASTRIK DAVTIAN M.D.
Internal Medicine
222 W EULALIA ST, 301
GLENDALE, CA 91204
Los Angeles County (818) 240-0108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glendale Premier Medical Group's NPI number?

The NPI number for Glendale Premier Medical Group is 1003956715. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Glendale Premier Medical Group located?

Glendale Premier Medical Group is located at 222 W Eulalia St #201, Glendale, CA 91204. The listed phone number is (818) 240-0601.

What is Glendale Premier Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Glendale Premier Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.