TRI-VALLEY NEONATAL MEDICAL GROUP (NPI# 1497847305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497847305 |
| Entity Type | Organization |
| Organization Name | TRI-VALLEY NEONATAL MEDICAL GROUP |
| Practice Address |
15107 Vanowen St Van Nuys CA 91405-4542 |
| Mailing Address |
Po Box 1359 San Clemente CA 92674-1359 |
| Practice Telephone | 8189022978 |
| Mailing Telephone | 9494923514 |
| Mailing Fax Number | 9493662390 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | KARA NORDBERG (ACCOUNTS ADMINISTRATOR) |
| Authorized Official Telephone | 9494923514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0097480 | 05 |
| Street Address |
15107 VANOWEN ST |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508854225 | Apostolos Anthony Lekkos | Emergency Medicine | 15107 Vanowen St, Van Nuys, CA 91405 | 2005-10-06 |
| 1023622586 | Marina A Salama Md Inc | Pediatrics | 15107 Vanowen St, Van Nuys, CA 91405-4597 | 2020-09-02 |
| 1831708452 | Emma Brand Constantinou | Physician Assistant | 15107 Vanowen St, Van Nuys, CA 91405-4597 | 2020-07-29 |
| 1467075531 | Rachel Hroncich | Pharmacist | 15107 Vanowen St, Van Nuys, CA 91405 | 2020-05-24 |
| 1376165563 | Julie Tang | Dietitian, Registered | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2020-05-11 |
| 1265062913 | Suzanne Patricia Graf | Clinical Nurse Specialist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2020-01-22 |
| 1760028831 | Mary Catherine Soliva | Physical Therapist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2019-11-22 |
| 1538705215 | Team Hospital Medicine Physicians of California Medical Group Inc | Hospitalist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2019-11-18 |
| 1952867020 | Faula Anne Pena Bordon | Occupational Therapist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2019-02-14 |
| 1598220881 | John Joseph Broz IIi | Physician Assistant | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255423141 | Firmo Delacuesta Garcia | Pediatrics | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2006-09-28 |
| 1760574669 | Arash Moghimi | Pediatrics | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2006-09-28 |
| 1447342332 | Laurence Duane Shaw | Pediatrics | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2006-09-28 |
| 1073614301 | Sukshma Reddy Sreepathi | Pediatrics | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2006-09-26 |
| 1396773719 | Andre L Vanderhal | Pediatrics | 15107 Vanowen St, Nicu, Van Nuys, CA 91405-4542 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316695 | Neonatal Hospitalist Group, Inc | Pediatrics | 501 S Buena Vista St Nicu, Burbank, CA 91505-4809 | 2019-10-01 |
| 1619418936 | Natalie Hoi-man Chan | Pediatrics | 2516 Stockton Blvd Fl 2, Sacramento, CA 95817-2208 | 2017-03-20 |
| 1427502186 | George Francis Tidmarsh | Pediatrics | 10182 Telesis Ct, San Diego, CA 92121-4760 | 2016-08-11 |
| 1477904530 | Lida Irene Zeinali | Pediatrics | 2315 Stockton Blvd # 5, Sacramento, CA 95817-2201 | 2016-06-29 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1871921718 | Mirin Hemasilpin | Pediatrics | 22554 Ventura Blvd Ste 117, Woodland Hills, CA 91364-1436 | 2013-10-30 |
| 1588937353 | Jeffrey Joseph Pomerance | Pediatrics | 351 W Northridge Ave, Glendora, CA 91741-2036 | 2012-02-09 |
| 1447549225 | Jimmy Thuan Nguyen | Pediatrics | 5621 W Barbette Ave, Santa Ana, CA 92704-1015 | 2011-04-01 |
| 1699085134 | Rosemary Leake | Pediatrics | 2 Crest Rd W, Rolling Hills, CA 90274-5003 | 2010-10-18 |
| 1811200124 | Katrina Tan Ibonia | Pediatrics | 9300 Valley Childrens Pl # Se21, Madera, CA 93636-8762 | 2010-07-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRI-VALLEY NEONATAL MEDICAL GROUP.
| 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.