NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Glendale Rejuvenation Medical Group

Obesity Medicine (Family Medicine) Physician in Wilmington, CA · enumerated 2016 · authorized official Eddie Santiago, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073960407

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Glendale Rejuvenation Medical Group
Other name <Unavail>
Practice address 1703 N Avalon Blvd, Wilmington, CA, 90744
Phone (310) 233-9355
Fax (310) 233-2545
Enumeration date May 16, 2016
Last updated in NPPES Dec 21, 2021

Taxonomy & classification

104100000X Social Worker Behavioral Health & Social Service Providers Secondary
111NN1001X Nutrition Chiropractor Chiropractic Providers Secondary
133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary
207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians Secondary
207QB0002X Obesity Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary
2083S0010X Sports Medicine (Preventive Medicine) Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Eddie Santiago
Title Manager
Phone (818) 610-9360

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-12-21. Verify at npiregistry.cms.hhs.gov.
Where is Glendale Rejuvenation Medical Group located?
The practice location on file with NPPES is in Wilmington, CA.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-21.