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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ASSUTA FAMILY MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
NPI 1639400260
Family Medicine in North Hollywood, CA

Active since January 21, 2010CLIA Certified · 2 labs
12922 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606(818) 760-2800(818) 760-7343 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Assuta Family Medical Group A Professional Medical Corporation NPPES

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

ASSUTA FAMILY MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION (NPI 1639400260) is a healthcare organization registered as a family medicine in North Hollywood, California and active in the NPI registry since January 2010. The organization holds 2 active CLIA laboratory certificates and lists Nataraj Chandrasekhar, Manager, as its authorized official.

NPPES Registry Identity

NPI1639400260
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASSUTA FAMILY MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
Location Address12922 VICTORY BLVDNorth Hollywood, CA 91606-2924
Mailing Address12922 Victory BlvdNorth Hollywood, CA 91606-2924 · (818) 760-2800 · Fax (818) 760-7343
Phone(818) 760-2800
Fax(818) 760-7343
Organization SubpartNo
Authorized OfficialNataraj ChandrasekharManager · (818) 760-2800
Enumeration DateJanuary 21, 2010
Last NPPES UpdateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1639400260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A82603
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License A33650 (CA)
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License A60294 (CA)
Also ListedUrologyTaxonomy 208800000X · License A60294 (CA)
12922 VICTORY BLVD, North Hollywood, CA 91606
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2008043

Assuta Family Medical Group Apmc · North Hollywood, CA
Active · expires Jun 1, 2028
CLIA Number05D2008043
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorSoroush A. Ramin
Laboratory Phone(818) 760-2800
Laboratory LocationAssuta Family Medical Group Apmc12922 Victory Blvd, North Hollywood, CA 91606
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2148811

Assuta Family Medical Group, A Professional Medical Corporation · Palmdale, CA
Active · expires May 17, 2028
CLIA Number05D2148811
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorSoroush A. Ramin
Laboratory Phone(818) 760-2800
Laboratory LocationAssuta Family Medical Group, A Professional Medical Corporation41250 12th St W Unit B, Palmdale, CA 93551
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

VICTORY DISCOUNT PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
12922 VICTORY BLVD, STE A
N HOLLYWOOD, CA 91606
Los Angeles County (818) 752-9888
DR. STUART FISHER M.D.
Urology
12922 VICTORY BLVD, ASSUTA FAMILY MEDICAL GROUP APMC
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 760-2800
RUTH PINTER RN / FNP
Nurse Practitioner (Family)
12922 VICTORY BLVD, ASSUTA FAMILY MEDICAL GROUP APMC
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 760-2800
NEW CENTURY INSTITUTE FOR UROLOGY & ANDROLOGY A.P.M.C.
Urology
12922 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 760-2800
MR. BEHRANG VAMEGHI VESSALI PHYSICIAN ASSISTANT
Physician Assistant
12922 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 760-2800
DR. SOROUSH ADAM RAMIN M.D.
Urology
12922 VICTORY BLVD, ASSUTA FAMILY MEDICAL GROUP APMC
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 760-2800
MR. JOSHUA KASHANIROKH PA
Internal Medicine (Rheumatology)
12922 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 760-7734
ENNEAGON HEALTH, APC
Urology
12922 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (310) 779-2289

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 Assuta Family Medical Group A Professional Medical Corporation's NPI number?

The NPI number for Assuta Family Medical Group A Professional Medical Corporation is 1639400260. It was assigned to this organization in the NPPES registry on January 21, 2010.

Where is Assuta Family Medical Group A Professional Medical Corporation located?

Assuta Family Medical Group A Professional Medical Corporation is located at 12922 Victory Blvd, North Hollywood, CA 91606. The listed phone number is (818) 760-2800.

What is Assuta Family Medical Group A Professional Medical Corporation's specialty?

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

Does Assuta Family Medical Group A Professional Medical Corporation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Assuta Family Medical Group A Professional Medical Corporation was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.