PRIMA RESTORATIVE AND WELLNESS
NPI 1194685479
Family Medicine - Geriatric Medicine in Glendale, CA

Active since November 18, 2025
309 W BROADWAY, GLENDALE, CA 91204(310) 993-9691 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • Geriatric Medicine

About PRIMA RESTORATIVE AND WELLNESS

This page provides the complete NPI Profile along with additional information for Prima Restorative And Wellness, a primary care provider established in Glendale, California operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1194685479 assigned on November 2025. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated one year ago. Prima Restorative And Wellness operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Anthony Ryan Miguel Aguirre Md (Ceo)

NPI
1194685479 Verify this NPI
Provider Name
PRIMA RESTORATIVE AND WELLNESS
Entity Type
Organization
Location Address
309 W BROADWAY GLENDALE, CA 91204
Location Phone
(310) 993-9691
Mailing Address
309 W BROADWAY GLENDALE, CA 91204
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2025
Last Update Date
11-18-2025
Code Navigator

A primary care provider (PCP) like Prima Restorative And Wellness sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician with 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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANTHONY RYAN MIGUEL AGUIRRE MD

Authorized Official Title
CEO
Authorized Official Phone
(310) 993-9691

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194685479, enumerated as an "organization" on November 18, 2025.

The provider is located at 309 W BROADWAY GLENDALE, CA 91204 and the phone number is (310) 993-9691.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.