NEIVEEN PETER MEDICAL CORPORATION
NPI 1205483443
Internal Medicine in Glendale, CA

Active since August 22, 2019
1100 E BROADWAY STE 301, GLENDALE, CA 91205(818) 416-3337 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Neiveen Peter Medical Corporation NPPES

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

NEIVEEN PETER MEDICAL CORPORATION (NPI 1205483443) is a healthcare organization registered as an internal medicine in Glendale, California and active in the NPI registry since August 2019. The organization lists Neiveen Peter, Provider, as its authorized official.

NPPES Registry Identity

NPI1205483443
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNEIVEEN PETER MEDICAL CORPORATION
Location Address1100 E BROADWAY STE 301Glendale, CA 91205-1380
Mailing Address1121 Avonoak TerGlendale, CA 91206-1513 · (818) 416-3337
Organization SubpartNo
Authorized OfficialNeiveen PeterProvider · (818) 416-3337
Enumeration DateAugust 22, 2019
✔ NPI 1205483443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1100 E BROADWAY STE 301, Glendale, CA 91205

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)

Neiveen Peter Medical Corporation 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 Neiveen Peter Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1295013951
1509 WILSON TER
Glendale, CA 91206
(818) 416-6338
✔ PECOS✔ Accepts Medicare0.8 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 Neiveen Peter Medical Corporation's NPI number?

The NPI number for Neiveen Peter Medical Corporation is 1205483443. It was assigned to this organization in the NPPES registry on August 22, 2019.

Where is Neiveen Peter Medical Corporation located?

Neiveen Peter Medical Corporation is located at 1100 E Broadway Ste 301, Glendale, CA 91205. The listed phone number is (818) 416-3337.

What is Neiveen Peter Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Neiveen Peter Medical Corporation enrolled in Medicare?

Yes. Neiveen Peter Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neiveen Peter Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Neiveen Peter Medical Corporation. 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 Neiveen Peter Medical Corporation was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.