PACIFIC HEALTH MEDICAL GROUP
NPI 1902209992
Clinic/Center - Adolescent and Children Mental Health in Glendale, CA

Active since October 03, 2014
319 S BRAND BLVD, GLENDALE, CA 91204(818) 240-0006(818) 240-0038 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pacific Health Medical Group NPPES

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

PACIFIC HEALTH MEDICAL GROUP (NPI 1902209992) is a healthcare organization registered as an adolescent and children mental health in Glendale, California and active in the NPI registry since October 2014. The organization lists Gayane Begoyan, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1902209992
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NamePACIFIC HEALTH MEDICAL GROUP
Location Address319 S BRAND BLVDGlendale, CA 91204-1701
Mailing Address319 S Brand BlvdGlendale, CA 91204-1701 · (818) 240-0006 · Fax (818) 240-0038
Fax(818) 240-0038
Organization SubpartNo
Authorized OfficialGayane BegoyanMedical Doctor · (818) 240-0006
Enumeration DateOctober 3, 2014
✔ NPI 1902209992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in CA · A113904
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License A113904 (CA)
319 S BRAND BLVD, Glendale, CA 91204

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 Health Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Pacific Health Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

General Surgery
NPI 1629283510
319 S BRAND BLVD
Glendale, CA 91204
(818) 240-0006
✔ PECOSSame address
Podiatry
NPI 1578188181
110 S ADAMS ST
Glendale, CA 91205
(818) 242-4426
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1245020700
8407 CORA ST
Sunland, CA 91040
(818) 512-5007
✔ PECOS✔ Accepts Medicare8.4 mi
Psychiatry
NPI 1427210954
2629 CLARENDON AVE 2ND FLOOR
Huntington Park, CA 90255
(323) 584-3700
✔ PECOS✔ Accepts Medicare11 mi
Podiatry
NPI 1720010556
2678 E FLORENCE AVE
Huntington Park, CA 90255
(323) 587-3011
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1245278399
3036 SANTA FE AVE
Long Beach, CA 90810
(562) 591-2785
✔ PECOS✔ Accepts Medicare23 mi
Podiatry
NPI 1013020619
1738 N WATERMAN AVE STE 5
San Bernardino, CA 92404
(909) 886-7700
✔ PECOS✔ Accepts Medicare56 mi

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 Pacific Health Medical Group's NPI number?

The NPI number for Pacific Health Medical Group is 1902209992. It was assigned to this organization in the NPPES registry on October 3, 2014.

Where is Pacific Health Medical Group located?

Pacific Health Medical Group is located at 319 S Brand Blvd, Glendale, CA 91204. The listed phone number is (818) 240-0006.

What is Pacific Health Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Pacific Health Medical Group enrolled in Medicare?

Yes. Pacific Health Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Health Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Pacific Health 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. The largest specialties are Podiatry (3), Family Practice (1) and General Surgery (1). Of these, 1 practice at this address and 3 within 10 miles. 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 Health Medical Group was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.