CENTRAL MEDICAL GROUP
NPI 1639924319
Radiology - Diagnostic Radiology in Glendale, CA
About Central Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL MEDICAL GROUP (NPI 1639924319) is a healthcare organization registered as a diagnostic radiology in Glendale, California and active in the NPI registry since April 2024. The organization lists Nicholas N Dzebolo, Mdical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Central Medical Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Central Medical Group's NPI number?
The NPI number for Central Medical Group is 1639924319. It was assigned to this organization in the NPPES registry on April 17, 2024.
Where is Central Medical Group located?
Central Medical Group is located at 710 S Central Ave Ste 310, Glendale, CA 91204. The listed phone number is (747) 215-6350.
What is Central Medical Group's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Central Medical Group enrolled in Medicare?
Yes. Central Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Radiology) reassigns their Medicare billing to Central Medical Group. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Central Medical Group was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Central Medical Group · NPI 1639924319
Diagnostic Radiology organization in Glendale, California. Organization record, active in the CMS NPPES registry since April 17, 2024.
## Identity
- **NPI:** 1639924319 (Entity type: Organization)
- **Enumerated:** April 17, 2024
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Nicholas Dzebolo, MDICAL DIRECTOR
## Practice location
- **Address:** 710 S CENTRAL AVE STE 310, Glendale, CA 91204-4641
- **Phone:** (747) 215-6350 · **Fax:** (747) 215-6242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639924319) · Data from the CMS NPPES public registry.