R G W MULTI SPECIALTY MEDICAL GROUP INC (NPI# 1104127505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104127505 |
| Entity Type | Organization |
| Organization Name | R G W MULTI SPECIALTY MEDICAL GROUP INC |
| Practice Address |
1915 W Glenoaks Blvd Suite 101 Glendale CA 91201-1541 |
| Practice Telephone | 8189559902 |
| Practice Fax Number | 8189559987 |
| Mailing Telephone | 8189559902 |
| Mailing Fax Number | 8189559987 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | DR. RANDALL G WEISSBUCH (OWNER) |
| Authorized Official Telephone | 8189559902 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
A23457 | CA | Ambulatory Health Care Facilities |
| Street Address |
1915 W GLENOAKS BLVD SUITE 101 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91201-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134178155 | Dennis T. Sugiyama | Optometrist | 1915 W Glenoaks Blvd, Suite 101, Glendale, CA 91201-1541 | 2006-05-08 |
| 1548654973 | Glenx Care Inc | Sleep Specialist, PhD | 1915 W Glenoaks Blvd, Ste 101, Glendale, CA 91201-1541 | 2015-03-24 |
| 1265717938 | Balance Dream Diagnostic Inc | Clinic/Center | 1915 W Glenoaks Blvd, 101a, Glendale, CA 91201-1541 | 2011-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406046 | Blue Sky Hospice Care, Inc. | Hospice Care, Community Based | 1915 West Glen Oaks Blvd Ste 101b, Glendale, CA 91201 | 2020-08-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1790249852 | Susanna Margaryan Md A Medical Corporation | Clinic/Center | 1511 W. Glendale Ave., Glendale, CA 91201 | 2019-01-23 |
| 1831688860 | Vera Hospice, Inc. | Hospice Care, Community Based | 1927 1/2 W. Glenoaks Blvd, Glendale, CA 91201 | 2018-05-04 |
| 1396256939 | Universal Care Group Inc | Home Health | 1516 W Glenoaks Blvd Suite C, Glendale, CA 91201 | 2017-10-23 |
| 1427474642 | Brecka Walker | Social Worker | 1400 Glenwood Rd, Apt 109, Glendale, CA 91201 | 2014-03-12 |
| 1720422447 | Hmayak Manasyan | General Practice | 1712 E Colorado Blvd, Pasadena, CA 91201 | 2013-04-24 |
| 1730451469 | Divine Care Lm Hospice | Hospice Care, Community Based | 1440 Flower St. Suite A, Glendale, CA 91201 | 2012-01-26 |
| 1225255201 | Mikhail Blinchik | Internal Medicine | 777-a Flower Street, Glendale, CA 91201 | 2007-04-19 |
| 1801906920 | Brian Conlan | Counselor | 6425 San Fernando Rd, Glendale, CA 91201 | 2006-08-30 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1992136576 | Best Choice Medical | Clinic/Center | 541 W Colorado St Ste 206, Glendale, CA 91204-3640 | 2013-12-06 |
| 1134412323 | Riverside Fletcher Medical Group | Clinic/Center | 1915 W Glenoaks Blvd # 101, Glendale, CA 91201-1541 | 2011-05-20 |
| 1396903571 | The Massage Fix Inc | Clinic/Center | 3600 Ocean View Blvd, Suite 1, Glendale, CA 91208-1272 | 2008-05-24 |
| 1023208212 | Arrowhead Health Center & Spa, Pllc | Clinic/Center | 17100 W 67th Ave, 300, Glendale, AZ 85308-3605 | 2007-07-25 |
| 1376582775 | Columbia St Mary's Hospital Ozaukee, Inc. | Clinic/Center | 4425 N Port Washington Rd, Glendale, WI 53212-1082 | 2006-06-05 |
| 1831685320 | Healing Service Agency LLC | Clinic/Center | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2018-07-08 |
| 1659735504 | Tulaya Wellness Corp | Clinic/Center | 6789 N Green Bay Ave, Glendale, WI 53209-3472 | 2016-04-07 |
| 1912379090 | Quick Med Center LLC | Clinic/Center | 5104 N 67th Ave, Glendale, AZ 85301 | 2015-10-28 |
| 1821368218 | Banner Physician Specialists Arizona LLC | Clinic/Center | 10150 N 67th Ave, Ste 101, Glendale, AZ 85302-1004 | 2012-01-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.