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NUEVA VIDA MEDICAL CENTER INC
NPI 1639054042
Family Medicine - Geriatric Medicine in Panorama City, CA

Active since August 06, 2025
14443 TITUS ST, PANORAMA CITY, CA 91402(747) 777-3445 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nueva Vida Medical Center Inc NPPES

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

NUEVA VIDA MEDICAL CENTER INC (NPI 1639054042) is a healthcare organization registered as a geriatric medicine in Panorama City, California and active in the NPI registry since August 2025. The organization lists Richard Hubbard, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1639054042
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameNUEVA VIDA MEDICAL CENTER INC
Location Address14443 TITUS STPanorama City, CA 91402-5251
Mailing Address14443 Titus StPanorama City, CA 91402-5251 · (747) 777-3445
Phone(747) 777-3445
Organization SubpartNo
Authorized OfficialRichard HubbardCeo/owner · (747) 777-3445
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1639054042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
14443 TITUS ST, Panorama City, CA 91402
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nueva Vida Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nueva Vida Medical Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Shushanik Agaronyan, NP
Nurse Practitioner
NPI 1417806753
13761 VICTORY BLVD
Van Nuys, CA 91401
(818) 902-9000
✔ PECOS2.5 mi
Richard Hubbard, M.D., J.D.
Neurology
NPI 1912121799
801 E BIRCH ST STE 5
Calexico, CA 92231
(760) 357-0337
✔ PECOS✔ Accepts Medicare200 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 Nueva Vida Medical Center Inc's NPI number?

The NPI number for Nueva Vida Medical Center Inc is 1639054042. It was assigned to this organization in the NPPES registry on August 6, 2025.

Where is Nueva Vida Medical Center Inc located?

Nueva Vida Medical Center Inc is located at 14443 Titus St, Panorama City, CA 91402. The listed phone number is (747) 777-3445.

What is Nueva Vida Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Nueva Vida Medical Center Inc enrolled in Medicare?

Yes. Nueva Vida Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nueva Vida Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Nueva Vida Medical Center Inc, in Neurology and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nueva Vida Medical Center Inc was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.