JOHN M. PERIC MD INC (NPI# 1770862856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770862856 |
| Entity Type | Organization |
| Organization Name | JOHN M. PERIC MD INC |
| Practice Address |
2701 W Alameda Ave Suite 403 Burbank CA 91505-4402 |
| Mailing Address |
11333 Moorpark St #188 Studio City CA 91602-2618 |
| Practice Telephone | 8185700542 |
| Practice Fax Number | 8185581156 |
| Mailing Telephone | 8185700542 |
| Mailing Fax Number | 8185581156 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |
| Authorized Official Name | JOHN MARIO PERIC (MD, OWNER) |
| Authorized Official Telephone | 8185700542 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | A79419 | 01 |
| Street Address |
2701 W ALAMEDA AVE SUITE 403 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363416 | Marc L Ladenheim | Internal Medicine | 2701 W Alameda Ave, Ste 607, Burbank, CA 91505-4411 | 2005-08-11 |
| 1386186781 | Buena Vista Surgery Center, LLC | Clinic/Center | 2701 W Alameda Ave, Suite 401b, Burbank, CA 91505-4402 | 2016-11-16 |
| 1528517414 | Orthopaedic Surgery Specialists Burbank | Occupational Therapist | 2701 W Alameda Ave, Suite 206, Burbank, CA 91505-4402 | 2016-10-03 |
| 1295289767 | Olivia Thomas | Physical Medicine & Rehabilitation | 2701 W Alameda Ave, Suite 401, Burbank, CA 91505-4402 | 2016-08-12 |
| 1730633462 | Robert A Pacheco | Physical Medicine & Rehabilitation | 2701 W Alameda Ave, Suite 206, Burbank, CA 91505-4402 | 2016-08-11 |
| 1134598550 | All In One Surgery Center | Clinic/Center | 2701 W Alameda Ave, Suite 308, Burbank, CA 91505-4402 | 2015-09-15 |
| 1013306364 | Marc Ladenheim Md Facc Inc | Internal Medicine | 2701 W Alameda Ave, Suite 607, Burbank, CA 91505-4402 | 2015-01-09 |
| 1700281847 | Bethany Kum | Dentist | 2701 W Alameda Ave, Suite 600, Burbank, CA 91505-4402 | 2014-10-31 |
| 1003259060 | Roger Joseph Mah Corporation | Anesthesiology | 2701 W Alameda Ave, Ste. #602, Burbank, CA 91505-4402 | 2013-04-09 |
| 1295070399 | Burbank Surgery Center, Inc | Clinic/Center | 2701 W Alameda Ave, Suite 602, Burbank, CA 91505-4402 | 2012-11-30 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770932204 | Sam Fatoorehchi | Family Medicine | 4901 W 79th St Fl 2, Burbank, IL 60459-1569 | 2016-06-06 |
| 1750768685 | Rasha William Atallah | Family Medicine | 4901 W 79th St Ste 10, Burbank, IL 60459-1554 | 2015-04-29 |
| 1477949618 | Ciara L Shirvanian | Family Medicine | 191 S. Buena Vista Street, Suite #100, Burbank, CA 91505-4554 | 2015-04-14 |
| 1346678794 | M & C Physician Solutions PC | Family Medicine | 640 N Keystone St, Suite B, Burbank, CA 91506-1900 | 2013-10-22 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1881915627 | Mahin Ghanevati | Family Medicine | 191 S Buena Vista St Ste 220, Burbank, CA 91505-4563 | 2010-06-16 |
| 1336467620 | Treasa L Davis | Family Medicine | 191 S Buena Vista St Ste 375, Burbank, CA 91505-4558 | 2010-05-11 |
| 1982935268 | Lynn Joseph Ramirez, M.d. Inc. | Family Medicine | 303 S Glenoaks Blvd Ste 4, Burbank, CA 91502-1193 | 2010-01-26 |
| 1538310172 | West Suburban Medical Ctr. | Family Medicine | 8333 South Austin, Burbank, IL 60459-2558 | 2008-10-01 |
| 1952560732 | Liana Poghosyan | Family Medicine | 401 S Glenoaks Blvd Ste 101, Burbank, CA 91502-2707 | 2008-06-05 |
| Find all providers in BURBANK | ||||
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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.