OrganizationActive
Countyof Los Angeles
NPI 1104259936 · Pediatrics Physician · Commerce, CA
Provider details
- NPI number
- 1104259936
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Art Bernal, Cbo Manager(323) 890-7775
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5555 Ferguson Dr
Commerce, CA 90022-5164
Phone: (323) 890-7509
Street-level locationGet directions
Mailing address
501 N Glendale Ave
Glendale, CA 91206-3312
Other names (DBA / former)
- Doing business as
- Glendale Health Center
Registry dates
- Enumerated
- 2013-08-15
- Last updated
- 2013-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.