Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Great Spirit Medical Group,Inc

Q: What type of organization is Great Spirit Medical Group,Inc?

Great Spirit Medical Group,Inc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Family Medicine Physician in Northridge, CA · enumerated 2006 · authorized official Conrado Miranda, Medical Director.

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

National Provider Identifier

1407869928

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Registry record

Entity type Organization (Type 2)

Legal business name Great Spirit Medical Group,Inc

Practice address 9900 Balboa Blvd, Suite A, Northridge, CA, 91325

Phone (818) 701-0017

Fax (818) 701-0073

Enumeration date Aug 14, 2006

Last updated in NPPES Nov 12, 2007

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License A48817 (CA) Primary

Authorized official

Name Conrado Miranda

Title Medical Director

Phone (818) 701-0017

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

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Great Spirit Medical Group,Inc?

Great Spirit Medical Group,Inc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-12.