BRIAN KEITH FENMORE (NPI# 1194834879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194834879 |
| Entity Type | Individual |
| Full Name | BRIAN KEITH FENMORE |
| Credential | MD |
| Practice Address |
18344 Clark St Suite 202 Tarzana CA 91356-3505 |
| Mailing Address |
18344 Clark St #202 Tarzana CA 91356-3505 |
| Practice Telephone | 8187088011 |
| Practice Fax Number | 8187088826 |
| Mailing Telephone | 8187088011 |
| Mailing Fax Number | 8187088826 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A043642 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
18344 CLARK ST SUITE 202 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508813619 | South Valley Radiology Medical Group Inc | Nuclear Medicine | 18344 Clark St, Suite 101, Tarzana, CA 91356-3505 | 2006-05-27 |
| 1093239014 | Liya Yin | Physical Therapist | 18344 Clark St, Tarzana, CA 91356-3505 | 2017-08-01 |
| 1780089169 | Keren Michelle Pinto | Physical Therapist | 18344 Clark St, #208, Tarzana, CA 91356-3505 | 2014-10-28 |
| 1760738736 | Gil Bender, Md Inc. | Obstetrics & Gynecology | 18344 Clark St, Suite 202, Tarzana, CA 91356-3505 | 2012-07-27 |
| 1649439969 | Active Body Supplies | Prosthetic/Orthotic Supplier | 18344 Clark St, Suite 205, Tarzana, CA 91356-3505 | 2008-06-02 |
| 1710046784 | Shiu-bong Lawrence Ho | Physical Therapist | 18344 Clark St, Suite 208, Tarzana, CA 91356-3580 | 2006-12-06 |
| 1174530687 | Philip S. Rosen | Chiropractor | 18344 Clark St, Tarzana, CA 91356-3505 | 2006-08-01 |
| 1598771719 | Margaret E. Perez | Chiropractor | 18344 Clark St, Suite 205, Tarzana, CA 91356-3505 | 2006-07-31 |
| 1316967326 | James Robert Shields | Obstetrics & Gynecology | 18344 Clark St, Suite 202, Tarzana, CA 91356-3505 | 2006-07-20 |
| 1154357531 | South Valley Imaging | Clinic/Center | 18344 Clark St, Suite 101, Tarzana, CA 91356-3505 | 2006-06-25 |
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| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757574 | James A. Danielzadeh Md | Obstetrics & Gynecology | 18370 Burbank Blvd Ste 209, Tarzana, CA 91356-2855 | 2018-10-30 |
| 1598937302 | Tanaz Kahen Md, Inc | Obstetrics & Gynecology | 5525 Etiwanda Ave Ste 209, Tarzana, CA 91356-6117 | 2008-04-01 |
| 1184825986 | Vuk Jovanovic | Obstetrics & Gynecology | 18370 Burbank Blvd Ste 511, Tarzana, CA 91356-2838 | 2007-05-30 |
| 1598825523 | Ruslana Kadze | Obstetrics & Gynecology | 18411 Clark St Ste 300, Tarzana, CA 91356-3546 | 2006-12-11 |
| 1083773055 | Ruslana Kadze Md Inc | Obstetrics & Gynecology | 5525 Etiwanda Ave Ste 228, Tarzana, CA 91356-6157 | 2006-12-06 |
| 1417026931 | Taaly Silberstein Md A Medical Corporation | Obstetrics & Gynecology | 18399 Ventura Blvd Ste 239, Tarzana, CA 91356-6408 | 2006-11-07 |
| 1649893454 | Center for Womens Health, A California Professional Corporation | Obstetrics & Gynecology | 5525 Etiwanda Ave Ste 209, Tarzana, CA 91356-6117 | 2020-05-27 |
| 1730639683 | Bloom Obstetrics and Gynecology, Inc | Obstetrics & Gynecology | 18555 Ventura Blvd, Suite C, Tarzana, CA 91356-4192 | 2016-10-04 |
| 1811240989 | Shelley Susman, M.d., Inc. | Obstetrics & Gynecology | 18370 Burbank Blvd, Suite 100, Tarzana, CA 91356-2804 | 2012-10-26 |
| 1659621787 | Frederick M Kohn Md A Professional Corporation | Obstetrics & Gynecology | 5525 Etiwanda Ave, Suite 209, Tarzana, CA 91356-3647 | 2012-09-17 |
| Find all providers in TARZANA | ||||
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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.