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GLENDALE COMMUNITY MEDICAL GROUP INC
NPI 1013102854
Specialist in Glendale, CA

Active since September 13, 2007
801 S CHEVY CHASE DR, 105, GLENDALE, CA 91205(818) 265-2203(818) 265-2201 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Glendale Community Medical Group Inc NPPES

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

GLENDALE COMMUNITY MEDICAL GROUP INC (NPI 1013102854) is a healthcare organization registered as a specialist in Glendale, California and active in the NPI registry since September 2007. The organization lists Duc C Bui, President, as its authorized official.

NPPES Registry Identity

NPI1013102854
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGLENDALE COMMUNITY MEDICAL GROUP INC
Location Address801 S CHEVY CHASE DR, 105Glendale, CA 91205-4431
Mailing Address801 S Chevy Chase Dr, 105Glendale, CA 91205-4431 · (818) 265-2203 · Fax (818) 265-2201
Phone(818) 265-2203
Fax(818) 265-2201
Organization SubpartNo
Authorized OfficialDuc C BuiPresident · (818) 265-2203
Enumeration DateSeptember 13, 2007
Last NPPES UpdateDecember 26, 2007
✔ NPI 1013102854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A45958
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
801 S CHEVY CHASE DR, Glendale, CA 91205
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Other Identifiers 3

Medicare PINW15716CA
Medicaid00A459580CA
Medicare UPINF14816CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glendale Community Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Glendale Community Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Duc Bui, M.D.
Internal Medicine
NPI 1831170950
801 S CHEVY CHASE DR STE 101
Glendale, CA 91205
(818) 265-2204
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Community Medical Group Inc's NPI number?

The NPI number for Glendale Community Medical Group Inc is 1013102854. It was assigned to this organization in the NPPES registry on September 13, 2007.

Where is Glendale Community Medical Group Inc located?

Glendale Community Medical Group Inc is located at 801 S Chevy Chase Dr 105, Glendale, CA 91205. The listed phone number is (818) 265-2203.

What is Glendale Community Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Glendale Community Medical Group Inc enrolled in Medicare?

Yes. Glendale Community Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glendale Community Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Glendale Community Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glendale Community Medical Group Inc was last updated on December 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.