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Santo Nino Medical Group Inc

Family Medicine Physician in Panorama City, CA · enumerated 2006 · authorized official Glenn Marshak, President / Owner.

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

National Provider Identifier

1770685612

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Registry record

Entity type Organization (Type 2)
Legal business name Santo Nino Medical Group Inc
Other name <Unavail>
Practice address 14427 Chase St, Ste. 100, Panorama City, CA, 91402
Phone (818) 830-7751
Fax (818) 891-7892
Enumeration date Sep 1, 2006
Last updated in NPPES Feb 14, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License A44687 (CA) Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License PA15625 (CA) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License C50675 (CA) Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License G080659 (CA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA21838 (CA) Secondary

Authorized official

Name Glenn Marshak
Title President / Owner
Phone (818) 830-7751

Other identifiers

Identifier Type State Issuer
GR0092750 Medicaid CA -

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.

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Frequently asked questions

What is the NPI number for Santo Nino Medical Group Inc?
The NPI for Santo Nino Medical Group Inc is 1770685612, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Santo Nino Medical Group Inc?
NPPES lists Glenn Marshak (President / Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-14.