PACIFIC SHORES MEDICAL GROUP, INC.
NPI 1871642991
Internal Medicine - Hematology & Oncology in Glendale, CA
About Pacific Shores Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC SHORES MEDICAL GROUP, INC. (NPI 1871642991) is a healthcare organization registered as a hematology & oncology in Glendale, California and active in the NPI registry since January 2007. The organization lists Nerses Simon Tchekmedyian, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Pacific Shores Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Pacific Shores Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 23Source: 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 Pacific Shores Medical Group, Inc.'s NPI number?
The NPI number for Pacific Shores Medical Group, Inc. is 1871642991. It was assigned to this organization in the NPPES registry on January 9, 2007.
Where is Pacific Shores Medical Group, Inc. located?
Pacific Shores Medical Group, Inc. is located at 222 W Eulalia St #100-B, Glendale, CA 91204. The listed phone number is (818) 637-7611.
What is Pacific Shores Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Pacific Shores Medical Group, Inc. enrolled in Medicare?
Yes. Pacific Shores Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Shores Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 3 Medicare specialties reassign their Medicare billing to Pacific Shores Medical Group, Inc.. 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. The largest specialties are Hematology/Oncology (16), Nurse Practitioner (6) and Hematology (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pacific Shores Medical Group, Inc. was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Pacific Shores Medical Group, Inc. · NPI 1871642991
Hematology & Oncology organization in Glendale, California. Organization record, active in the CMS NPPES registry since January 9, 2007.
## Identity
- **NPI:** 1871642991 (Entity type: Organization)
- **Enumerated:** January 9, 2007
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **Organization subpart:** No
- **Authorized official:** Nerses Tchekmedyian, CEO
## Practice location
- **Address:** 222 W EULALIA ST, #100-B, Glendale, CA 91204-2849
- **Phone:** (818) 637-7611
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hematology/Oncology (16), Nurse Practitioner (6), Hematology (1); 1 practice at this address; [full list](https://npiprofile.com/npi/1871642991/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2016
- **Other identifiers:** Medicaid GR0065541 (CA); Medicare PIN W13494B (CA); Medicare NSC 1118450004 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1871642991) · Data from the CMS NPPES public registry.