GENESIS COMPREHENSIVE MEDICAL GROUP
NPI 1023559697
Family Medicine - Addiction Medicine in Burbank, CA

Active since March 16, 2017
191 S BUENA VISTA ST STE 335, BURBANK, CA 91505(818) 561-4733 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2020, Mar 16, 2017 (2 updates tracked since 2017).

About Genesis Comprehensive Medical Group NPPES

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

GENESIS COMPREHENSIVE MEDICAL GROUP (NPI 1023559697) is a healthcare organization registered as an addiction medicine in Burbank, California and active in the NPI registry since March 2017. The organization lists Kamron Kenneth Hakhamimi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1023559697
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameGENESIS COMPREHENSIVE MEDICAL GROUP
Location Address191 S BUENA VISTA ST STE 335Burbank, CA 91505-4562
Mailing Address191 S Buena Vista St Ste 335Burbank, CA 91505-4562 · (818) 561-4733
Organization SubpartNo
Authorized OfficialKamron Kenneth HakhamimiMedical Director · (323) 697-2330
Enumeration DateMarch 16, 2017
Last NPPES UpdateOctober 14, 20202 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
NPI 1023559697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License Licensed in CA · A74169
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
191 S BUENA VISTA ST STE 335, Burbank, CA 91505

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Family Medicine (Addiction Medicine)
191 S BUENA VISTA ST STE 335
BURBANK, CA 91505

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 Genesis Comprehensive Medical Group's NPI number?

The NPI number for Genesis Comprehensive Medical Group is 1023559697. It was assigned to this organization in the NPPES registry on March 16, 2017.

Where is Genesis Comprehensive Medical Group located?

Genesis Comprehensive Medical Group is located at 191 S Buena Vista St Ste 335, Burbank, CA 91505. The listed phone number is (818) 561-4733.

What is Genesis Comprehensive Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Genesis Comprehensive Medical Group was last updated on October 14, 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.