1. Home
  2. Directory
  3. California
  4. Glendale
  5. Internal Medicine
  6. NPI Profile

GLENDALE COMMUNITY MEDICAL GROUP, INC.
NPI 1679564934
Internal Medicine - Nephrology in Glendale, CA

Active since November 03, 2005CLIA 05D1023986 · Waiver
801 S CHEVY CHASE DR, SUITE 105, GLENDALE, CA 91205(818) 265-2204(818) 265-2201 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glendale Community Medical Group, Inc. NPPES

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

GLENDALE COMMUNITY MEDICAL GROUP, INC. (NPI 1679564934) is a healthcare organization registered as a nephrology in Glendale, California and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Duc Cong Bui, President, as its authorized official.

NPPES Registry Identity

NPI1679564934
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGLENDALE COMMUNITY MEDICAL GROUP, INC.
Location Address801 S CHEVY CHASE DR, SUITE 105Glendale, CA 91205-4431
Mailing Address801 S Chevy Chase Dr, Suite 105Glendale, CA 91205-4431 · (818) 265-2204 · Fax (818) 265-2201
Phone(818) 265-2204
Fax(818) 265-2201
Organization SubpartNo
Authorized OfficialDuc Cong BuiPresident · (818) 265-2204
Enumeration DateNovember 3, 2005
Last NPPES UpdateFebruary 9, 2011
✔ NPI 1679564934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · 23056633
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
801 S CHEVY CHASE DR, Glendale, CA 91205
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type UnspecifiedWA45958GCA · Individual Number
Medicaid00A459580CA
Medicare PINW15716CA
Medicare UPINF14816CA

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

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 05D1023986

Glendale Community Medical Group · Glendale, CA
Active · expires Mar 29, 2028
CLIA Number05D1023986
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorDuc C. Bui MD
Laboratory Phone(818) 265-2204
Laboratory LocationGlendale Community Medical Group801 S Chevy Chase Dr, Ste 101, Glendale, CA 91205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

GLENDALE COMMUNITY MEDICAL GROUP INC
Specialist
801 S CHEVY CHASE DR, 105
GLENDALE, CA 91205
Los Angeles County (818) 265-2203
PATRICK MINASSIAN DDS INC
Dentist
801 S CHEVY CHASE DR, SUITE 108
GLENDALE, CA 91205
Los Angeles County (818) 242-6161
DR. JEAN-PIERRE E ANTAKI M.D.
Internal Medicine (Infectious Disease)
801 S CHEVY CHASE DR, #105
GLENDALE, CA 91205
Los Angeles County (818) 242-5299
DR. CHUNG ACUPUNCTURE CLINIC, INC.
Acupuncturist
801 S CHEVY CHASE DR, #104
GLENDALE, CA 91205
Los Angeles County (818) 517-6940
GARNIK YEGYAN MD A MEDICAL CORPORATION
Specialist
801 S CHEVY CHASE DR, #101
GLENDALE, CA 91205
Los Angeles County (818) 247-2212
ANTAKI & ASSOCIATES INFECTIOUS DISEASE MEDICAL GROUP INC
Internal Medicine (Infectious Disease)
801 S CHEVY CHASE DR, 101
GLENDALE, CA 91205
Los Angeles County (818) 242-5299
RAPIDCARE URGENT CARE CENTERS/SO CALIF URGENT CARE MEDICAL GROUP
Clinic/Center (Urgent Care)
801 S CHEVY CHASE DR, #105
GLENDALE, CA 91205
Los Angeles County (818) 265-2200
LUIS M ALBERT MD
Family Medicine
801 S CHEVY CHASE DR, SUITE 108
GLENDALE, CA 91205
Los Angeles County (818) 246-2456

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 Glendale Community Medical Group, Inc.'s NPI number?

The NPI number for Glendale Community Medical Group, Inc. is 1679564934. It was assigned to this organization in the NPPES registry on November 3, 2005.

Where is Glendale Community Medical Group, Inc. located?

Glendale Community Medical Group, Inc. is located at 801 S Chevy Chase Dr Suite 105, Glendale, CA 91205. The listed phone number is (818) 265-2204.

What is Glendale Community Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Glendale Community Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1023986) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Glendale Community Medical Group, Inc. was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.