Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PROVISION MEDICAL GROUP INC
NPI 1265342703
Nurse Practitioner in Santa Clarita, CA

Q: What is Provision Medical Group Inc's NPI number?

The NPI number for Provision Medical Group Inc is 1265342703. It was assigned to this organization in the NPPES registry on September 8, 2026.

Q: What is Provision Medical Group Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 08, 2026

19702 SKYVIEW CT, SANTA CLARITA, CA 91351(661) 383-3477 Get Directions Write a Review

NPPES record added: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Provision Medical Group Inc NPPES

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

PROVISION MEDICAL GROUP INC (NPI 1265342703) is a healthcare organization registered as a nurse practitioner in Santa Clarita, California and active in the NPI registry since September 2026. The organization lists Junaida Shakhvaladyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265342703

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePROVISION MEDICAL GROUP INC

Location Address19702 SKYVIEW CTSanta Clarita, CA 91351-6900

Mailing Address19702 Skyview CtSanta Clarita, CA 91351-6900 · (661) 383-3477

Phone(661) 383-3477

Organization SubpartNo

Authorized OfficialJunaida ShakhvaladyanCeo · (661) 383-3477

Enumeration DateSeptember 8, 2026

NPPES CertifiedSeptember 8, 2026

✔ NPI 1265342703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

19702 SKYVIEW CT, Santa Clarita, CA 91351

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Provision Medical Group Inc's NPI number?

The NPI number for Provision Medical Group Inc is 1265342703. It was assigned to this organization in the NPPES registry on September 8, 2026.

Where is Provision Medical Group Inc located?

Provision Medical Group Inc is located at 19702 Skyview Ct, Santa Clarita, CA 91351. The listed phone number is (661) 383-3477.

What is Provision Medical Group Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Provision Medical Group Inc was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.