BRIDGE MEDICAL GROUP, INC. (NPI# 1215260377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215260377 |
| Entity Type | Organization |
| Organization Name | BRIDGE MEDICAL GROUP, INC. |
| Practice Address |
15720 Ventura Blvd Ste. 400 Encino CA 91436-2914 |
| Mailing Address |
P.o. Box 1992 Santa Monica CA 90406 |
| Practice Telephone | 8009673309 |
| Practice Fax Number | 8009671138 |
| Mailing Telephone | 8009673309 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | JONATHAN ASHER YAKER (VICE PRESIDENT) |
| Authorized Official Telephone | 8009673309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
15720 VENTURA BLVD STE. 400 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578546636 | Candice Sherbin | Counselor | 15720 Ventura Blvd, Suite 512, Encino, CA 91436-2914 | 2005-11-22 |
| 1699264952 | Suda Centers, Inc. | Clinic/Center | 15720 Ventura Blvd, Encino, CA 91436-2914 | 2018-05-02 |
| 1881117505 | Med Services Corporation | Clinic/Center | 15720 Ventura Blvd, 220, Encino, CA 91436 | 2017-07-25 |
| 1912431347 | Lorena Pola | Speech-Language Pathologist | 15720 Ventura Blvd, Suite 503, Encino, CA 91436-2914 | 2017-04-12 |
| 1114451580 | Litha Rose Jose | Speech-Language Pathologist | 15720 Ventura Blvd, Suite 503, Encino, CA 91436-2914 | 2017-04-12 |
| 1174064810 | Michelle L Salas | Behavioral Analyst | 15720 Ventura Blvd, Suite 403, Encino, CA 91436-2914 | 2017-03-14 |
| 1750828729 | Michael Aragon | Behavioral Analyst | 15720 Ventura Blvd, Suite 403, Encino, CA 91436-2914 | 2017-01-27 |
| 1225575939 | Elizabeth Marquez | Behavioral Analyst | 15720 Ventura Blvd, 403, Encino, CA 91436-2914 | 2017-01-20 |
| 1235674391 | Sev Baron | Behavioral Analyst | 15720 Ventura Blvd, Suite 403, Encino, CA 91436-2914 | 2016-12-28 |
| 1841650819 | Natoya Evans | Behavioral Analyst | 15720 Ventura Blvd, 403, Encino, CA 91436-2914 | 2016-03-03 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326401985 | Everest Medical Center, Inc. | Clinic/Center | 5400 Balboa Blvd Ste 331, Encino, CA 91316-5225 | 2016-03-31 |
| 1417349143 | Peter C Nissler Dds A Dental Corp | Clinic/Center | 5400 Balboa Blvd Ste 229, Encino, CA 91316-5213 | 2015-03-04 |
| 1982946398 | Ben Taub Medical Institute | Clinic/Center | 16055 Ventura Blvd Ste 1120, Encino, CA 91436-2612 | 2013-03-24 |
| 1013290634 | Medical Weight Loss Institute, Inc. | Clinic/Center | 16952 Ventura Blvd Ste 200-b, Encino, CA 91316-4197 | 2011-09-20 |
| 1225577273 | Rachel Mcnally Lac. | Clinic/Center | 5363 Balboa Blvd Ste 436, Encino, CA 91316-2840 | 2017-02-22 |
| 1467813295 | Lum Acupuncture and Herbal Medicine | Clinic/Center | 16101 Ventura Blvd Ste 343, Encino, CA 91436-2516 | 2016-03-07 |
| 1639562820 | Kroger | Clinic/Center | 16325 Ventura Blvd, Encino, CA 91436-2101 | 2015-03-11 |
| 1467724732 | Blueberry Medical | Clinic/Center | 5400 Balboa Blvd, Encino, CA 91316-1502 | 2012-02-02 |
| 1528366861 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 16550 Ventura Blvd, Encino, CA 91436-2004 | 2011-03-10 |
| 1972704567 | Robert Dardashti, D.c. Incorporated | Clinic/Center | 16661 Ventura Blvd, Suite 115, Encino, CA 91436-1914 | 2007-05-30 |
| 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.