Shine Mmg INC in Glendale, CA
This organization bills under NPI 1053930248, an organization record issued on Apr 8, 2020 with the primary taxonomy Family Medicine Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1053930248
- Legal name
- Shine Mmg INC
- Entity
- Type 2 · organization
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- Practice location
- 450 N BRAND BLVD STE 625A, Glendale, CA 91203
- Phone
- 818-745-0070
- Enumerated
- Apr 8, 2020
- Record updated
- Apr 8, 2020
- Authorized official
- Cfo (title as filed)
20 clinicians CMS lists with Shine Mmg in Glendale
- Gihan Abdel-Samed, MDEmergency Medicine Physician1306884754
- Marylou AclanFamily Nurse Practitioner1881162147
- Suzy ArevyanPhysician Assistant1174390306
- Kristopher BaluyotMedical Physician Assistant1215402185
- Amanda Barrinuevo, MSN, FNPFamily Nurse Practitioner1750939526
- Asmik Cholakian, PA-CPhysician Assistant1649927039
- Cameo Cozart-Chance, MDEmergency Medicine Physician1619903135
- Analiza Farahbakhsh, FNPFamily Nurse Practitioner1780229674
- Bianca FlorecePhysician Assistant1235908401
- Macy JavaherifarPhysician Assistant1295563203
- Elma KhechemyanFamily Nurse Practitioner1962022319
- Zachary Lutsky, MDEmergency Medicine Physician1528019205
- Levon Maghakyan, PAPhysician Assistant1588258008
- Erika Montalvo, PA-CPhysician Assistant1497561443
- Margarita MouradianPhysician Assistant1881358356
- Elda Petrosyan, FNPFamily Nurse Practitioner1396506283
- Voottisin Pisarnwongs, PA-CPhysician Assistant1124739354
- Faith Rivera, NURSE PRACTITIONERFamily Nurse Practitioner1518677566
- Jae SeoPhysician Assistant1265070023
- Benjamin Shannon-Alferes, DOEmergency Medicine Physician1487146593
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the California secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.