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WOMENS PAVILION MEDICAL GROUP INC
NPI 1972827483
Specialist in Burbank, CA

Active since March 26, 2010CLIA 05D2007573 · Waiver
191 S. BUENA VISTA ST., SUITE 340, BURBANK, CA 91505(818) 559-7500(818) 559-6453 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Womens Pavilion Medical Group Inc NPPES

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

WOMENS PAVILION MEDICAL GROUP INC (NPI 1972827483) is a healthcare organization registered as a specialist in Burbank, California and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Belinda Ortiz, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1972827483
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWOMENS PAVILION MEDICAL GROUP INC
Location Address191 S. BUENA VISTA ST., SUITE 340Burbank, CA 91505
Mailing Address191 S. Buena Vista St. #340Burbank, CA 91505 · (818) 559-7500 · Fax (818) 559-6453
Phone(818) 559-7500
Fax(818) 559-6453
Organization SubpartNo
Authorized OfficialBelinda OrtizOffice Manager · (818) 559-7500
Enumeration DateMarch 26, 2010
Last NPPES UpdateNovember 29, 2010
✔ NPI 1972827483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A55892
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
191 S. BUENA VISTA ST., Burbank, CA 91505
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Other Identifiers 3

Medicare PINW15894CA
Medicaid00A558920CA
Medicare UPIN967069CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D2007573

Women's Pavilion Medical Group Inc · Burbank, CA
Active · expires Mar 5, 2027
CLIA Number05D2007573
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorDavid Ahdoot MD
Laboratory Phone(818) 559-7500
Laboratory LocationWomen's Pavilion Medical Group Inc191 S Buena Vista St #340, Burbank, CA 91505
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Womens Pavilion Medical Group Inc's NPI number?

The NPI number for Womens Pavilion Medical Group Inc is 1972827483. It was assigned to this organization in the NPPES registry on March 26, 2010.

Where is Womens Pavilion Medical Group Inc located?

Womens Pavilion Medical Group Inc is located at 191 S. Buena Vista St. Suite 340, Burbank, CA 91505. The listed phone number is (818) 559-7500.

What is Womens Pavilion Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Womens Pavilion Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2007573) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Womens Pavilion Medical Group Inc was last updated on November 29, 2010. 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.