ENCINO-TARZANA CARDIOLOGY PANEL MEDICAL ASSOCIATES (NPI# 1104918259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104918259 |
| Entity Type | Organization |
| Organization Name | ENCINO-TARZANA CARDIOLOGY PANEL MEDICAL ASSOCIATES |
| Practice Address |
16237 Ventura Blvd Encino CA 91436-2201 |
| Mailing Address |
4835 Van Nuys Blvd Suite 114 Sherman Oaks CA 91403-2109 |
| Practice Telephone | 8187085034 |
| Mailing Telephone | 8187830800 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | ROGER CHANG ON (CHAIRMAN) |
| Authorized Official Telephone | 8187830800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0064111 | 05 | |
| CA | BLUE SHIELD ENCINO | ZZZ45972Z | 01 |
| Street Address |
16237 VENTURA BLVD |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235196288 | Eric S Carlisle | Emergency Medicine | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2006-04-26 |
| 1295233039 | Em Vitug Garcia | Nurse Practitioner | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2018-01-26 |
| 1083137921 | Nouriel Niamehr Do, Inc. | Physical Medicine & Rehabilitation | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2017-07-23 |
| 1780030189 | Joshua Diamond Md, Inc. | Internal Medicine | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2016-05-04 |
| 1750798880 | Linet Tina Zmrutyan | Marriage & Family Therapist | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2014-07-21 |
| 1841619244 | Mark Boyajian | Anesthesiology | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2014-04-14 |
| 1457600488 | Pacifica Emergency Medical Associates, Inc. | Emergency Medicine | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2012-09-06 |
| 1770894412 | Anwar Molani Md Inc Apmc | Pathology | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2010-06-28 |
| 1750537494 | Encino Hospital Radiology Medical Group Inc | Radiology | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2008-08-13 |
| 1629242201 | Prime Healthcare Services Encino LLC | Psychiatric Unit | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2008-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1700295680 | Madhu Mody | Internal Medicine | 17929 Lake Vista Dr, Encino, CA 91316-4443 | 2014-08-05 |
| 1366771941 | Richard Allen Williams | Internal Medicine | 3425 Clairton Pl, Encino, CA 91436-4137 | 2009-12-10 |
| 1295750164 | Sohail S Mahboubian | Internal Medicine | 16133 Ventura Blvd Ste 415, Encino, CA 91436-2429 | 2006-07-13 |
| 1699768275 | Mariappan Ganesa Pandian | Internal Medicine | 16542 Ventura Blvd, Suite 402, Encino, CA 91436-2005 | 2005-08-29 |
| 1699930685 | Ankur Gupta | Internal Medicine | 16542 Ventura Blvd Ste 402, Encino, CA 91436-4562 | 2008-07-19 |
| 1760682868 | Ashish Kumar Aggarwal | Internal Medicine | 16542 Ventura Blvd, Suite 402, Encino, CA 91436-2005 | 2007-07-18 |
| 1588872907 | California Center for Cardiothoracic Surgery, A Medical Group | Internal Medicine | 16255 Ventura Blvd, Suite 910, Encino, CA 91436-2302 | 2007-05-18 |
| 1710041652 | James Henry Fleisher | Internal Medicine | 16133 Ventura Blvd, Suite 1180, Encino, CA 91436-2403 | 2006-12-21 |
| 1750445060 | Cardiac Associates Medical Group, Inc | Internal Medicine | 16133 Ventura Blvd, Suite 1180, Encino, CA 91436-2403 | 2006-12-21 |
| 1982710810 | Jerome A Hamburger | Internal Medicine | 16133 Ventura Blvd, Suite 1180, Encino, CA 91436-2403 | 2006-08-22 |
| Find all providers in ENCINO | ||||
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| 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.