VANNITHAMBY JEGAPRAGASAN (NPI# 1811072978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811072978 |
| Entity Type | Individual |
| Full Name | VANNITHAMBY JEGAPRAGASAN |
| Credential | MD |
| Practice Address |
12660 Riverside Dr Ste 310320 North Hollywood CA 91607-3429 |
| Practice Telephone | (818) 755-0391 |
| Mailing Telephone | (818) 755-0391 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A54047 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD | P00133525 | 01 |
| CA | 00A540470 | 05 |
| Street Address |
12660 RIVERSIDE DR STE 310320 |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91607-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1952926552 | Lisa Porter, Family Counselor, Inc | Marriage & Family Therapist | 4721 Laurel Canyon Blvd. Ste #200, Studio City, CA 91607 | 2020-06-10 |
| 1508488362 | Agm Rx Inc | Pharmacy | 12043 Riverdside Dr, Valley Village, CA 91607 | 2020-05-14 |
| 1275179327 | Go To Pharmacy Inc | Pharmacy | 5961 Laurel Canyon Ave #2, North Hollywood, CA 91607 | 2019-11-25 |
| 1689224545 | Canyon Rx Inc | Pharmacy | 12117 Magnolia Blvd, Valley Village, CA 91607 | 2019-09-12 |
| 1306311006 | Jeanine Ann Roose | Psychologist | 4941 Wilkinson Ave. Ste. A, Valley Village, CA 91607 | 2018-10-09 |
| 1790250942 | Janine Castagnetti | Speech-Language Pathologist | 5825 Radford Ave, Valley Village, CA 91607 | 2018-10-03 |
| 1871007724 | Valley Village Home Care Inc | Home Health | 5940 1/2 Laurel Canyon Blvd, Valley Village, CA 91607 | 2017-11-29 |
| 1740705185 | Archwood Care 2 | Intermediate Care Facility, Mentally Retarded | 12523 Califa St, Valley Village, CA 91607 | 2017-08-07 |
| 1932653664 | American Institute of Addiction Medicine | Substance Abuse Rehabilitation Facility | 12400 W Magnolia Blvd, Valley Village, CA 91607 | 2016-08-10 |
| Find all providers in zip 91607 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439122 | Cordial Medical Group | Family Medicine | 8049 Laurel Canyon Blvd, North Hollywood, CA 91605-1428 | 2019-07-24 |
| 1881926756 | N&h Medical Group Inc | Family Medicine | 11490 Burbank Blvd Ste 1b, North Hollywood, CA 91601-2391 | 2010-02-03 |
| 1942453709 | Arlet Shamalian | Family Medicine | 5250 Lankershim Blvd Fl 8, North Hollywood, CA 91601-3186 | 2008-10-24 |
| 1962688283 | David Reisbord | Family Medicine | 12115 Magnolia Blvd, 254, North Hollywood, CA 91607-2609 | 2008-01-16 |
| 1831387620 | Laurel Canyon Urgency Med Group | Family Medicine | 8020 Laurel Canyon Blvd, North Hollywood, CA 91605-1427 | 2007-10-05 |
| 1073722369 | Rizalino G Vicente | Family Medicine | 7544 Laurel Canyon Blvd, North Hollywood, CA 91605-3148 | 2007-05-22 |
| 1841325065 | Charlotte Margolin | Family Medicine | 12244 Oxnard Street, #2, North Hollywood, CA 91606-4640 | 2007-02-21 |
| 1578610200 | Randall Caldron Md Inc | Family Medicine | 11120 Burbank Blvd, Space 1a, North Hollywood, CA 91601-5708 | 2007-01-04 |
| 1942383740 | Bambi L. Nickelberry | Family Medicine | 11486 Burbank Blvd, North Hollywood, CA 91601-2301 | 2006-10-23 |
| 1457450439 | Ara A Poladian | Family Medicine | 10876 Riverside Dr, North Hollywood, CA 91602-2236 | 2006-09-22 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91607 |
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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.