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SPIRIT MEDICAL GROUP
NPI 1255029799
Clinic/Center in Glendale, CA

Active since April 24, 2023
1030 S GLENDALE AVE STE 506, GLENDALE, CA 91205(818) 245-6475(818) 245-6417 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Spirit Medical Group NPPES

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

SPIRIT MEDICAL GROUP (NPI 1255029799) is a healthcare organization registered as a clinic/center in Glendale, California and active in the NPI registry since April 2023. The organization lists Nicholas Dzebolo, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1255029799
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSPIRIT MEDICAL GROUP
Location Address1030 S GLENDALE AVE STE 506Glendale, CA 91205-2820
Mailing Address1030 S Glendale Ave Ste 506Glendale, CA 91205-2820 · (818) 245-6475 · Fax (818) 245-6417
Phone(818) 245-6475
Fax(818) 245-6417
Organization SubpartNo
Authorized OfficialNicholas DzeboloMedical Director · (818) 245-6475
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1255029799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1030 S GLENDALE AVE STE 506, Glendale, CA 91205
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Other Providers at the Same Location NPPES 2

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

ROBERT C WORMUS AUD
Specialist
1030 S GLENDALE AVE STE 506
GLENDALE, CA 91205
Los Angeles County (818) 240-4283
SELECTCARE HEALTH GROUP
Clinic/Center
1030 S GLENDALE AVE STE 506
GLENDALE, CA 91205
Los Angeles County (818) 245-6373

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 Spirit Medical Group's NPI number?

The NPI number for Spirit Medical Group is 1255029799. It was assigned to this organization in the NPPES registry on April 24, 2023.

Where is Spirit Medical Group located?

Spirit Medical Group is located at 1030 S Glendale Ave Ste 506, Glendale, CA 91205. The listed phone number is (818) 245-6475.

What is Spirit Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Spirit Medical Group was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.