VERDUGO MEDICAL GROUP CORP
NPI 1073373601
Internal Medicine - Geriatric Medicine in Burbank, CA

Active since March 20, 2024
142 W VERDUGO AVE, BURBANK, CA 91502(818) 588-3705(818) 588-3685 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Verdugo Medical Group Corp NPPES

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

VERDUGO MEDICAL GROUP CORP (NPI 1073373601) is a healthcare organization registered as a geriatric medicine in Burbank, California and active in the NPI registry since March 2024. The organization lists Aboo Nasar, President, as its authorized official.

NPPES Registry Identity

NPI1073373601
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameVERDUGO MEDICAL GROUP CORP
Location Address142 W VERDUGO AVEBurbank, CA 91502-2132
Mailing Address142 W Verdugo AveBurbank, CA 91502-2132 · (818) 588-3705 · Fax (818) 588-3685
Fax(818) 588-3685
Organization SubpartNo
Authorized OfficialAboo NasarPresident · (818) 588-3705
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1073373601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
142 W VERDUGO AVE, Burbank, CA 91502

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Verdugo Medical Group Corp 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 Verdugo Medical Group Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1871533380
2810 CAMINO DEL RIO S STE 102
San Diego, CA 92108
(858) 385-1419
✔ PECOS✔ Accepts Medicare118 mi

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 Verdugo Medical Group Corp's NPI number?

The NPI number for Verdugo Medical Group Corp is 1073373601. It was assigned to this organization in the NPPES registry on March 20, 2024.

Where is Verdugo Medical Group Corp located?

Verdugo Medical Group Corp is located at 142 W Verdugo Ave, Burbank, CA 91502. The listed phone number is (818) 588-3705.

What is Verdugo Medical Group Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Verdugo Medical Group Corp enrolled in Medicare?

Yes. Verdugo Medical Group Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Verdugo Medical Group Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Verdugo Medical Group Corp. 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 Verdugo Medical Group Corp was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.