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PROXIMA MEDICAL GROUP
NPI 1124860507
Family Medicine in Glendale, CA

Active since June 07, 2024CLIA 05D2312657 · Waiver
800 S CENTRAL AVE STE 206, GLENDALE, CA 91204(818) 862-4000(818) 616-8660 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Mar 11, 2025, Jun 18, 2024 and 1 more (4 updates tracked since 2024).

About Proxima Medical Group NPPES

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

PROXIMA MEDICAL GROUP (NPI 1124860507) is a healthcare organization registered as a family medicine in Glendale, California and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Hapetnak Shaybekyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124860507
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROXIMA MEDICAL GROUP
Location Address800 S CENTRAL AVE STE 206Glendale, CA 91204-4379
Mailing Address800 S Central Ave Ste 206Glendale, CA 91204-4379 · (818) 862-4000 · Fax (818) 616-8660
Phone(818) 862-4000
Fax(818) 616-8660
Organization SubpartNo
Authorized OfficialHapetnak ShaybekyanCeo · (818) 862-4000
Enumeration DateJune 7, 2024
Last NPPES UpdateJanuary 21, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1124860507 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.
800 S CENTRAL AVE STE 206, Glendale, CA 91204
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2312657

Proxima Medical Group · Glendale, CA
Active · expires Oct 15, 2026
CLIA Number05D2312657
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorHapetnak Shaybekyan
Laboratory Phone(818) 862-4000
Laboratory LocationProxima Medical Group800 S Central Ave Suite 206, Glendale, CA 91204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

BODY SYSTEMS WELLNESS GROUP INC
Nurse Practitioner
800 S CENTRAL AVE STE 206
GLENDALE, CA 91204
Los Angeles County (818) 240-2233
HAPETNAK SHAYBEKYAN MD
Family Medicine
800 S CENTRAL AVE STE 206
GLENDALE, CA 91204
Los Angeles County (818) 862-4000
MRS. VANE BOLBOLIAN NP
Nurse Practitioner (Family)
800 S CENTRAL AVE STE 206
GLENDALE, CA 91204
Los Angeles County (818) 862-4000
DR. SHAHEN KURESTIAN D.C
Chiropractor
800 S CENTRAL AVE STE 206
GLENDALE, CA 91204
Los Angeles County (818) 240-2233

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 Proxima Medical Group's NPI number?

The NPI number for Proxima Medical Group is 1124860507. It was assigned to this organization in the NPPES registry on June 7, 2024.

Where is Proxima Medical Group located?

Proxima Medical Group is located at 800 S Central Ave Ste 206, Glendale, CA 91204. The listed phone number is (818) 862-4000.

What is Proxima Medical Group's specialty?

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

Does Proxima Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2312657) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Proxima Medical Group was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.