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PACIFIC SHORES MEDICAL GROUP, INC.
NPI 1871642991
Internal Medicine - Hematology & Oncology in Glendale, CA

Active since January 09, 2007
222 W EULALIA ST, #100-B, GLENDALE, CA 91204(818) 637-7611 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1871642991
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NamePACIFIC SHORES MEDICAL GROUP, INC.
Location Address222 W EULALIA ST, #100-BGlendale, CA 91204-2849
Mailing Address1043 Elm Ave, Ste 104Long Beach, CA 90813-3271 · (562) 590-0345 · Fax (562) 437-8139
Phone(818) 637-7611
Organization SubpartNo
Authorized OfficialNerses Simon TchekmedyianCeo · (562) 590-0345
Enumeration DateJanuary 9, 2007
Last NPPES UpdateApril 12, 2016
✔ NPI 1871642991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

222 W EULALIA ST, Glendale, CA 91204
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Other Identifiers 3

MedicaidGR0065541CA
Medicare PINW13494BCA
Medicare NSC1118450004CA

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

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 PREMIER MEDICAL GROUP
Family Medicine
222 W EULALIA ST, #201
GLENDALE, CA 91204
Los Angeles County (818) 240-0601
GLENDALE ORTHOPAEDICS INC.
Orthopaedic Surgery
222 W EULALIA ST, SUITE 300
GLENDALE, CA 91204
Los Angeles County (818) 547-0608
DENA RAFIQ NASIR MD
Colon & Rectal Surgery
222 W EULALIA ST
GLENDALE, CA 91204
Los Angeles County (818) 730-3726
MS. MICHELLE DEWINDT P.A.-C
Physician Assistant (Medical)
222 W EULALIA ST, SUITE 200
GLENDALE, CA 91204
Los Angeles County (818) 956-8582
DR. LYDIA S BANGTSON PH.D.
Psychologist (Clinical)
222 W EULALIA ST, SUITE 301
GLENDALE, CA 91204
Los Angeles County (818) 240-0108
ROBERT BEART M.D.
Colon & Rectal Surgery
222 W EULALIA ST, SUITE 100A
GLENDALE, CA 91204
Los Angeles County (818) 244-8161
MS. MERCEDES F. MARUSCAK N.P.
Internal Medicine (Hematology & Oncology)
222 W EULALIA ST, 100-B
GLENDALE, CA 91204
Los Angeles County (818) 637-7611
MR. RAY BURTON BLOSS III PA-C
Physician Assistant
222 W EULALIA ST, SUITE #101
GLENDALE, CA 91204
Los Angeles County (818) 246-4800

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.

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 with the weekly NPPES data releases published by CMS.