MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP INC (NPI# 1528265584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528265584 |
Entity Type | Organization |
Organization Name | MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP INC |
Other Organization Name | CENTER ON AGING |
Practice Address |
23388 Mulholland Dr Mailstop 260 Woodland Hills CA 91364-2733 |
Practice Telephone | 8188761636 |
Enumeration Date | 2007-07-02 |
Last Update Date | 2010-02-08 |
Authorized Official Name | MR. SETH ELLIS (VP CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 8188761079 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE SHIELD | ZZZ09390Z | 01 |
Other Name | Type Code |
---|---|
CENTER ON AGING | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982889481 | Motion Picture and Television Fund Medical Group Inc | Internal Medicine | 11550 Indian Hills Rd, Ste 200, Mission Hills, CA 91345-1200 | 2008-01-02 |
1669499497 | Motion Picture and Television Fund Medical Group Inc | Internal Medicine | 335 N La Brea Ave, Los Angeles, CA 90036-2517 | 2006-07-17 |
1184641920 | Motion Picture and Television Fund Medical Group Inc | Internal Medicine | 25751 Mcbean Pkwy, Ste 210, Valencia, CA 91355-3701 | 2006-07-17 |
1619994449 | Motion Picture and Television Fund Medical Group Inc | Internal Medicine | 1950 Sawtelle Blvd, Ste 130, Los Angeles, CA 90025-7014 | 2006-07-16 |
1013942622 | Motion Picture and Television Fund Medical Group Inc | Internal Medicine | 23388 Mulholland Dr, Mailstop 22, Woodland Hills, CA 91364-2733 | 2006-07-11 |
Street Address |
23388 MULHOLLAND DR MAILSTOP 260 |
City | WOODLAND HILLS |
State | CA |
Zip Code | 91364-2733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134170566 | Motion Picture and Television Fund | General Acute Care Hospital | 23388 Mulholland Dr, Woodland Hills, CA 91364-2733 | 2006-05-12 |
1457998346 | Elizabeth Herawati Tanzil | Registered Nurse | 23388 Mulholland Dr, Woodland Hills, CA 91364-2733 | 2019-12-10 |
1841836921 | James Fenimore Cooper | Registered Nurse | 23388 Mulholland Dr, Woodland Hills, CA 91364-2733 | 2019-11-22 |
1083063127 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 23388 Mulholland Dr, Suite 260, Woodland Hills, CA 91364-2733 | 2016-06-09 |
1700253366 | Neda Massih | Preventive Medicine | 23388 Mulholland Dr, Woodland Hills, CA 91364-2733 | 2015-08-28 |
1902272263 | Motion Picture and Televison Fund | Nurse Practitioner | 23388 Mulholland Dr, Woodland Hills, CA 91364-2733 | 2015-08-20 |
1629444021 | Julia E Kyle | Pharmacist | 23388 Mulholland Dr, Woodland Hills, CA 91364-2733 | 2015-08-19 |
1487069092 | Jennifer Lebowitz | Physical Therapist | 23388 Mulholland Dr, Woodland Hills, CA 91364-2733 | 2014-06-23 |
1558772475 | Melissa Louise Meads | Physical Medicine & Rehabilitation | 23388 Mulholland Dr, Ms # 270, Woodland Hills, CA 91364-2733 | 2014-05-13 |
1457771966 | Kirsten Anthony | Physical Therapist | 23388 Mulholland Dr, Ms # 270, Woodland Hills, CA 91364-2733 | 2014-04-23 |
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1801330766 | Samantha Meghann Mathew | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 | 2016-12-12 |
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1538516976 | Chris Massman | Marriage & Family Therapist | 5242 Darro Road, Woodland Hills, CA 91364 | 2016-05-16 |
1588065874 | Morrice Barkers Apprey | Marriage & Family Therapist | 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 | 2014-09-06 |
1144640723 | Kenneth Gustafson | Physical Therapy Assistant | 23888 Mulholland Drive, Ms # 270, Woodland Hills, CA 91364 | 2014-04-22 |
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Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
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. |
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1780879445 | Peter Jen-ping Chuang | Internal Medicine | 20700 Ventura Blvd, Suite #300, Woodland Hills, CA 91364-2357 | 2007-09-06 |
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City | WOODLAND HILLS |
Zip Code | 91364 |
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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.