KENNETH E NYMAN (NPI# 1093804304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093804304 |
| Entity Type | Individual |
| Full Name | KENNETH E NYMAN |
| Credential | M.D. |
| Practice Address |
5525 Etiwanda Ave Suite 222 Tarzana CA 91356-3647 |
| Mailing Address |
18375 Ventura Blvd Suite 626 Tarzana CA 91356-4218 |
| Practice Telephone | 8183441001 |
| Practice Fax Number | 8183444547 |
| Mailing Telephone | 8189088048 |
| Mailing Fax Number | 8189088072 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G27055 | CA | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
G27055 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1093804304 | 01 |
| CA | GROUP NPI | 1992894240 | 01 |
| Street Address |
5525 ETIWANDA AVE SUITE 222 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237833 | Michael D. Landman | Otolaryngology | 5525 Etiwanda Ave, Ste 312, Tarzana, CA 91356-6126 | 2005-06-28 |
| 1649663675 | Darryl J Ballin, Md, Inc | Internal Medicine | 5525 Etiwanda Ave, 224, Tarzana, CA 91356-3647 | 2015-03-16 |
| 1518359850 | Ent Group of Los Angeles | Otolaryngology | 5525 Etiwanda Ave, Suite 312, Tarzana, CA 91356-3647 | 2015-02-24 |
| 1457741076 | Graham Mouw, M.d., A Medical Corporation | Neurological Surgery | 5525 Etiwanda Ave, Suite 324, Tarzana, CA 91356-3647 | 2015-02-03 |
| 1346658200 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 5525 Etiwanda Ave, Suite 312, Tarzana, CA 91356-3647 | 2014-07-23 |
| 1750795613 | South Valley Physician Group, Inc. | Internal Medicine | 5525 Etiwanda Ave, Suite 200, Tarzana, CA 91356-3647 | 2014-06-18 |
| 1285068700 | Leilah Lewin | Social Worker | 5525 Etiwanda Ave, 315, Tarzana, CA 91356-3647 | 2013-09-03 |
| 1629311840 | Michelle Susan Shukhman | Internal Medicine | 5525 Etiwanda Ave, Suite #320, Tarzana, CA 91356-3647 | 2013-04-05 |
| 1013259530 | David Hoenig Md Inc | Anesthesiology | 5525 Etiwanda Ave, Suite 217, Tarzana, CA 91356-3647 | 2013-03-22 |
| 1700125168 | Tanaz Kahen Md Inc | Obstetrics & Gynecology | 5525 Etiwanda Ave, Suite 209, Tarzana, CA 91356-3647 | 2013-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107383 | Cohen Healthcare Inc | Internal Medicine | 18372 Clark St Ste 212, Tarzana, CA 91356-3551 | 2020-09-02 |
| 1265065155 | Andre Shahab Yousefia Md PC | Internal Medicine | 5530 Corbin Ave Ste 355, Tarzana, CA 91356-6047 | 2020-02-19 |
| 1528462033 | Mobile Medical Providers, Inc. | Internal Medicine | 19634 Ventura Blvd Ste 321, Tarzana, CA 91356-2994 | 2014-10-13 |
| 1730506882 | Parvine Sarah Rustamova | Internal Medicine | 6045 Lindley Ave Unit 31, Tarzana, CA 91356-1731 | 2014-03-26 |
| 1376977165 | Lawrence Dean Petz | Internal Medicine | 19633 Anadale Dr, Tarzana, CA 91356-5643 | 2013-08-28 |
| 1447593660 | Jeffrey Shukhman | Internal Medicine | 18131 Ventura Blvd Ste 201, Tarzana, CA 91356-3616 | 2013-04-05 |
| 1356689665 | Donald William Luber | Internal Medicine | 5343 Corbin Ave, Tarzana, CA 91356-2950 | 2013-01-21 |
| 1194091496 | Sassan Davoudi, Md PC | Internal Medicine | 5071 Garden Grove Ave, Tarzana, CA 91356-4317 | 2012-03-30 |
| 1124391412 | Melvyn Werbach | Internal Medicine | 4751 Viviana Dr, Tarzana, CA 91356-5038 | 2012-02-16 |
| 1013288570 | Ellen Marie Goudlock | Internal Medicine | 4909 Calvin Ave, Tarzana, CA 91356-4417 | 2012-01-14 |
| Find all providers in TARZANA | ||||
Please comment or provide details below to improve the information on KENNETH E NYMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.