Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Santo Nino Medical Group Inc

Organization Family Medicine Physician · NPI 1770685612

Santo Nino Medical Group Inc is a Family Medicine Physician in Panorama City, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14427 Chase St Ste 100
Panorama City, CA 91402-3020
Phone: (818) 830-7751
Fax: (818) 891-7892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14860 Roscoe Blvd Ste 200, Panorama City, CA 91402-4683 — (818) 830-7751

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A44687 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA15625 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence C50675 (CA)
General Practice Physician Taxonomy 208D00000X · Licence G080659 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA21838 (CA)

Record details

NPI number1770685612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Marshak — President / Owner · (818) 830-7751
Other names Santo Nino Medical Clinic; Santo Nino Medical Clinic
NPI enumeratedSeptember 1, 2006
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023
Mailing address14427 Chase St, Ste. 100, Panorama City, CA 91402-3020

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