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GREAT SPIRIT MEDICAL GROUP,INC
NPI 1407869928
Family Medicine in Northridge, CA

Active since August 14, 2006
9900 BALBOA BLVD, SUITE A, NORTHRIDGE, CA 91325(818) 701-0017(818) 701-0073 Get Directions Write a Review

NPPES record last updated: November 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Spirit Medical Group,inc NPPES

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

GREAT SPIRIT MEDICAL GROUP,INC (NPI 1407869928) is a healthcare organization registered as a family medicine in Northridge, California and active in the NPI registry since August 2006. The organization lists Conrado J.r Miranda, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407869928
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREAT SPIRIT MEDICAL GROUP,INC
Location Address9900 BALBOA BLVD, SUITE ANorthridge, CA 91325-5403
Mailing Address9900 Balboa Blvd, Suite ANorthridge, CA 91325-5403 · (818) 701-0017 · Fax (818) 701-0073
Phone(818) 701-0017
Fax(818) 701-0073
Organization SubpartNo
Authorized OfficialConrado J.r MirandaMedical Director · (818) 701-0017
Enumeration DateAugust 14, 2006
Last NPPES UpdateNovember 12, 2007
✔ NPI 1407869928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A48817
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9900 BALBOA BLVD, Northridge, CA 91325
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Other Identifiers 1

Medicare ID-Type UnspecifiedW17301CA · Medicare Provider Id

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

Other Providers at the Same Location NPPES 9

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

DR. CONRAD J R MIRANDA IV M.D.
General Practice
9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-0017
HEE JONG L CHOI L.AC
Physician Assistant
9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-0017
BALBOA MEDICAL & WELLNESS CENTER,INC.
General Practice
9900 BALBOA BLVD, SUITE E
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-0017
RAEESY MD INC
Internal Medicine
9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-0017
MRS. LIDIA MENDOZA
Massage Therapist
9900 BALBOA BLVD, SUITE B
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-7070
MRS. KHATUL ANDKHOY LAC
Acupuncturist
9900 BALBOA BLVD, SUITE B
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-7070
VALLEY INTEGRATED HEALTH CARE SERVICE
Specialist
9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-8771
NORTHRIDGE PHYSICAL THERAPY CENTER,INC
Physical Therapist
9900 BALBOA BLVD, SUITE C
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-8768

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 Great Spirit Medical Group,inc's NPI number?

The NPI number for Great Spirit Medical Group,inc is 1407869928. It was assigned to this organization in the NPPES registry on August 14, 2006.

Where is Great Spirit Medical Group,inc located?

Great Spirit Medical Group,inc is located at 9900 Balboa Blvd Suite A, Northridge, CA 91325. The listed phone number is (818) 701-0017.

What is Great Spirit Medical Group,inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Great Spirit Medical Group,inc was last updated on November 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.