Ivy Medical Clinic Inc
NPI 1174934400 · General Practice Physician · Glendale, CA
Ivy Medical Clinic Inc is a General Practice Physician organization in Glendale, CA (NPI 1174934400).
Provider details
- NPI number
- 1174934400
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Omar Espinosa, President/Ceo(818) 945-5523
- License
- A23122 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2014-05-08
- Last updated
- 2014-05-08
Frequently asked questions
- What is Ivy Medical Clinic Inc's NPI number?
- Ivy Medical Clinic Inc's National Provider Identifier (NPI) is 1174934400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Medical Clinic Inc?
- Ivy Medical Clinic Inc is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Ivy Medical Clinic Inc located?
- Ivy Medical Clinic Inc's practice location on file with NPPES is 705 Ivy St, Glendale, CA 91204.
- What is Ivy Medical Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Ivy Medical Clinic Inc is (818) 945-5523.
- Who is the authorized official for Ivy Medical Clinic Inc?
- The authorized official listed on Ivy Medical Clinic Inc's NPPES record is Omar Espinosa, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivy Medical Clinic Inc's NPI active?
- Yes — Ivy Medical Clinic Inc's NPI (1174934400) is active in the NPPES registry as of the last update on 2014-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.