DBA MISSION MEDICAL GROUP
NPI 1215991278
Medical Genetics, Ph.D. Medical Genetics in Panorama City, CA

Active since April 14, 2006
8215 VAN NUYS BLVD, 210-204, PANORAMA CITY, CA 91402(818) 782-4325(818) 782-7320 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dba Mission Medical Group NPPES

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

DBA MISSION MEDICAL GROUP (NPI 1215991278) is a healthcare organization registered as a medical genetics, ph.d. medical genetics in Panorama City, California and active in the NPI registry since April 2006. The organization lists Erlinda Dy Grey, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1215991278
Entity TypeOrganization
Primary Taxonomy170100000X
Legal Business NameSAN FERNANDO MISSION MEDICAL GRP
Location Address8215 VAN NUYS BLVD, 210-204Panorama City, CA 91402-4810
Mailing Address8215 Van Nuys Blvd, 210-204Panorama City, CA 91402-4810 · (818) 782-4325 · Fax (818) 782-7320
Fax(818) 782-7320
Organization SubpartNo
Authorized OfficialErlinda Dy GreyMedical Director · (818) 782-4325
Enumeration DateApril 14, 2006
Last NPPES UpdateOctober 19, 2011
NPI 1215991278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMedical Genetics, Ph.D. Medical GeneticsOther Service Providers
Taxonomy Code170100000X
License Licensed in CA · A30427
Definition
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
8215 VAN NUYS BLVD, Panorama City, CA 91402

Other Names 1

Doing Business AsDba Mission Medical Group

Other Identifiers 3

Medicare UPINA26109CA
Medicare PINW13008
MedicaidGR0059210CA

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

Other Providers at the Same Location NPPES 20

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

Specialist
8215 VAN NUYS BLVD, 306
PANORAMA CITY, CA 91402
Pharmacy (Community/Retail Pharmacy)
8215 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Dentist
8215 VAN NUYS BLVD, STE 302
PANORAMA CITY, CA 91402
Social Worker (Clinical)
8215 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Rehabilitation Practitioner
8215 VAN NUYS BLVD
VAN NUYS, CA 91402
Nurse Practitioner (Family)
8215 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Medical Genetics, Ph.D. Medical Genetics
8215 VAN NUYS BLVD, 210-204
PANORAMA CITY, CA 91402
Nurse Practitioner (Family)
8215 VAN NUYS BLVD, SUITE 210
PANORAMA CITY, CA 91402

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 San Fernando Mission Medical Grp's NPI number?

The NPI number for San Fernando Mission Medical Grp is 1215991278. It was assigned to this organization in the NPPES registry on April 14, 2006. The provider is doing business as Dba Mission Medical Group.

Where is San Fernando Mission Medical Grp located?

San Fernando Mission Medical Grp is located at 8215 Van Nuys Blvd 210-204, Panorama City, CA 91402. The listed phone number is (818) 782-4325.

What is San Fernando Mission Medical Grp's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

When was this NPI record last updated?

The NPPES record for San Fernando Mission Medical Grp was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.