PRIMARY CRITICAL CARE MEDICAL GROUP (NPI# 1184823114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184823114 |
| Entity Type | Organization |
| Organization Name | PRIMARY CRITICAL CARE MEDICAL GROUP |
| Practice Address |
501 S Buena Vista St Burbank CA 91505-4809 |
| Mailing Address |
Po Box 998 North Hollywood CA 91603-0998 |
| Practice Telephone | 8188435111 |
| Practice Fax Number | 8188430641 |
| Mailing Telephone | 8185092222 |
| Mailing Fax Number | 8185092229 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | DR. BRUCE T GIPE (PRESIDENT) |
| Authorized Official Telephone | 8185092222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G42382 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
501 S BUENA VISTA ST |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154315604 | Karen A Ellis | Pathology | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2005-09-09 |
| 1235756321 | James Patrick Heath Murphy | Nurse Practitioner | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-07-06 |
| 1891319406 | Marie Sol Masigan | Registered Nurse | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-05-31 |
| 1669091971 | Jenny C Wong | Pharmacist | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-04-16 |
| 1548895253 | Nicholas Bobolia IIi | Registered Nurse | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-03-03 |
| 1689208514 | Scott Park | Registered Nurse | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-02-29 |
| 1457902645 | Carina Alayne Hornbrook | Physician Assistant | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2019-09-27 |
| 1801443189 | Hanna Amanuel | Social Worker | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2019-08-21 |
| 1558916106 | Yasamin Banihashemi | Nurse Practitioner | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2019-08-09 |
| 1073168282 | Jenny Lin | Physician Assistant | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751849 | Mcs Medical Group Inc | General Practice | 348 E Olive Sve, Suite B1, Burbank, CA 91502-1235 | 2017-10-24 |
| 1356415814 | Eugenia Davis | General Practice | 3703 W Burbank Blvd, Burbank, CA 91505-2240 | 2006-11-17 |
| 1598772337 | Elegant Skin Care Medical Center, Inc. | General Practice | 1117 N Hollywood Way, B, Burbank, CA 91505-2528 | 2006-08-02 |
| 1750308235 | Kusum Rudrappa | General Practice | 421 E Angeleno Ave, Ste: 206b, Burbank, CA 91501-2286 | 2006-07-17 |
| 1538146840 | Samir Ak Nazo | General Practice | 2307 W Empire Ave, Burbank, CA 91504-3318 | 2005-12-28 |
| 1306253687 | Pacific Accountable Care Network Inc | General Practice | 201 S Buena Vista St, Suite 425, Burbank, CA 91505-4569 | 2014-07-17 |
| 1285948927 | Aguiluz Medical Corporation, Inc | General Practice | 10970 Sherman Way, Burbank, CA 91505-1002 | 2010-08-05 |
| 1205077039 | Olive Health Medical Group Inc | General Practice | 500 E Olive Ave, Suite 315, Burbank, CA 91501-3316 | 2009-03-06 |
| 1124288360 | Dyan M. Cole Md, Inc | General Practice | 401 S Glenoaks Blvd, Ste. # 203b, Burbank, CA 91502-1448 | 2008-06-11 |
| 1992981161 | Philip H Lee | General Practice | 421 E Angeleno Ave Ste 102, Burbank, CA 91501-2286 | 2008-01-17 |
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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.