SOUTHLANDS MEDICAL CLINIC (NPI# 1811141021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811141021 |
| Entity Type | Organization |
| Organization Name | SOUTHLANDS MEDICAL CLINIC |
| Practice Address |
8614 Van Nuys Blvd Panorama City CA 91402-2913 |
| Mailing Address |
17171 Roscoe Blvd Suite F215 Northridge CA 91325-4060 |
| Practice Telephone | 8189139551 |
| Practice Fax Number | 8186476310 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | DR. PADMAJA REDDY KANKAR (PRESIDENT) |
| Authorized Official Telephone | 8189139551 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A 98001 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
8614 VAN NUYS BLVD |
| City | PANORAMA CITY |
| State | CA |
| Zip Code | 91402-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487716833 | Gary I Karsh | Dentist | 8614 Van Nuys Blvd, Panorama City, CA 91402-2913 | 2006-12-14 |
| 1518198316 | John Rojas II | Family Medicine | 8614 Van Nuys Blvd, Panorama City, CA 91402-2913 | 2009-07-29 |
| 1326231549 | Gary I Karsh Dds Corporation | Dentist | 8614 Van Nuys Blvd, Panorama City, CA 91402-2913 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457900979 | Natalie Levine | Physician Assistant | 9140 Van Nuys Blvd Ste 207, Panorama City, CA 91402 | 2019-09-06 |
| 1609423912 | Jannet De La Torre | Student in an Organized Health Care Education/Training Program | 8018 Broadleaf Ave., Panorama City, CA 91402 | 2019-08-21 |
| 1659838258 | Carlota Andon | Psychologist | 14907 Willard St., Panorama City, CA 91402 | 2019-03-01 |
| 1477037471 | Lisa Diaz | Respiratory Therapist, Registered | 13651 Cantara St, Panorama City, CA 91402 | 2018-09-17 |
| 1124500665 | Luis Valentine Ascencio Jr. | Respiratory Therapist, Certified | Southern Calif. Kaiser Permanente Hospital, 8110 Woodman Ave Building 5, Panorama City, CA 91402 | 2018-08-31 |
| 1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
| 1265910285 | St. Rita's Congregate, Inc. | Nursing Facility/Intermediate Care Facility | 7818 Allott Ave, Van Nuys, CA 91402 | 2018-08-01 |
| 1255834370 | Bishoy Saad | Student in an Organized Health Care Education/Training Program | 8435 Minuet Pl, Panorama City, CA 91402 | 2018-03-15 |
| 1376080309 | International Pre-diabetes Center Inc | Registered Nurse | 14500 Roscoe Blvd., 4th Floor, 4th Floor, Panorama City, CA 91402 | 2017-01-29 |
| 1023489176 | Jane Ryang | Pharmacist | 13652 Cantara Street, Mo4 Room 105, Panorama City, CA 91402 | 2015-10-15 |
| Find all providers in zip 91402 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1376703009 | Shaival Dave | Pediatrics | 8001 Ventura Canyon Ave # 186, Panorama City, CA 91402-6312 | 2008-06-16 |
| 1417123597 | Salimpour Pediatric Medical Group, Inc. | Pediatrics | 15253 Roscoe Blvd, Panorama City, CA 91402-4401 | 2008-05-07 |
| 1225231590 | Katherine Elizabeth Goldsich | Pediatrics | 13652 Cantara Street, South One Building, Panorama City, CA 91402 | 2007-06-06 |
| 1700897741 | Maria Lilibeth Tan Sy | Pediatrics | 8162 Van Nuys Blvd, Panorama City, CA 91402-4806 | 2006-08-11 |
| 1245240910 | Roland Kuo-yang Tang | Pediatrics | 13652 Cantara St Bldg 6, Panorama City, CA 91402-5423 | 2006-08-08 |
| 1780685479 | Martin Mathew Anderson | Pediatrics | 8215 Van Nuys Blvd, Panorama City, CA 91402-4839 | 2005-08-03 |
| 1457618977 | Amanda Beth Green | Pediatrics | 13652 Cantara St, Mob 6, Panorama City, CA 91402-5423 | 2012-04-20 |
| 1215121173 | Danielle Rodin Flowers | Pediatrics | 13652 Cantara St, South 1- 107a, Panorama City, CA 91402-5423 | 2007-09-04 |
| 1558588038 | Katherine J. Galos | Pediatrics | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-04-19 |
| 1083739593 | Mario R. Hemsley | Pediatrics | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-03-21 |
| Find all providers in PANORAMA CITY | ||||
| City | PANORAMA CITY |
| Zip Code | 91402 |
Please comment or provide details below to improve the information on SOUTHLANDS MEDICAL CLINIC.
| 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.