Great Spirit Medical Group,inc
NPI 1407869928 · Family Medicine Physician · Northridge, CA
Great Spirit Medical Group,inc is a Family Medicine Physician organization in Northridge, CA (NPI 1407869928).
Provider details
- NPI number
- 1407869928
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Conrado Miranda, Medical Director(818) 701-0017
- License
- A48817 (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
19 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
- 2006-08-14
- Last updated
- 2007-11-12
Frequently asked questions
- What is Great Spirit Medical Group,inc's NPI number?
- Great Spirit Medical Group,inc's National Provider Identifier (NPI) is 1407869928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Spirit Medical Group,inc?
- Great Spirit Medical Group,inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Great Spirit Medical Group,inc located?
- Great Spirit Medical Group,inc's practice location on file with NPPES is 9900 Balboa Blvd, Northridge, CA 91325-5403.
- What is Great Spirit Medical Group,inc's phone number?
- The practice phone number listed in the NPPES registry for Great Spirit Medical Group,inc is (818) 701-0017.
- Who is the authorized official for Great Spirit Medical Group,inc?
- The authorized official listed on Great Spirit Medical Group,inc's NPPES record is Conrado Miranda, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Spirit Medical Group,inc's NPI active?
- Yes — Great Spirit Medical Group,inc's NPI (1407869928) is active in the NPPES registry as of the last update on 2007-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.