PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP. (NPI# 1831519156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831519156 |
| Entity Type | Organization |
| Organization Name | PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP. |
| Practice Address |
7230 Medical Center Dr Suite 302 West Hills CA 91307-1907 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 100 Los Angeles CA 90077-1726 |
| Practice Telephone | 8185185980 |
| Mailing Telephone | 3109434180 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. GLEN C. FARKAS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8185185980 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | G56249 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023428521 | Pacific Rejuvenation Medical, A Professional Corp. | Non-Pharmacy Dispensing Site | 6310 San Vicente Blvd, Suite 220, Los Angeles, CA 90048-5426 | 2014-05-06 |
| Street Address |
7230 MEDICAL CENTER DR SUITE 302 |
| City | WEST HILLS |
| State | CA |
| Zip Code | 91307-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093780900 | Steven Ecoff | Anesthesiology | 7230 Medical Center Dr, Ste. #503, West Hills, CA 91307-1907 | 2006-02-22 |
| 1114401106 | Premier Women's Health Associates | Obstetrics & Gynecology | 7230 Medical Center Dr, West Hills, CA 91307-1907 | 2018-09-17 |
| 1578097945 | Neurosurgical Spine Group, Inc | Neurological Surgery | 7230 Medical Center Dr, Suite 503, West Hills, CA 91307-1907 | 2017-04-12 |
| 1912449380 | Park West Plaza Rx Inc | Pharmacy | 7230 Medical Center Dr, #106, West Hills, CA 91307-1907 | 2016-11-16 |
| 1992165914 | Arc Orthopedic Group | Orthopaedic Surgery | 7230 Medical Center Dr, Suite 604, West Hills, CA 91307-1907 | 2016-03-03 |
| 1134503634 | Bineeta Battu | Dietitian, Registered | 7230 Medical Center Dr, West Hills, CA 91307-1907 | 2015-07-14 |
| 1285014308 | Helping Hand Nutrition | Clinic/Center | 7230 Medical Center Dr, Suite 602, West Hills, CA 91307-1907 | 2015-06-03 |
| 1861881609 | Specialty Pain Management & Consulting, Inc | Anesthesiology | 7230 Medical Center Dr, Suite 503, West Hills, CA 91307-1907 | 2015-01-16 |
| 1003218231 | Behrouz Dardashti, M.d., A Medical Corporation | Non-Pharmacy Dispensing Site | 7230 Medical Center Dr, Suite 305, West Hills, CA 91307-1907 | 2014-09-18 |
| 1912322595 | Premier Specialty Surgical Center, LLC | Clinic/Center | 7230 Medical Center Dr, Suite 502-503, West Hills, CA 91307-1907 | 2014-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778152 | Sk Marathon Home Care | Custodial Care Facility | 7246 Fallbrook Ave, West Hills, CA 91307 | 2018-01-17 |
| 1609393537 | James R. Shields, M.d., A Medical Corporation | Obstetrics & Gynecology | 7301 Medical Center Drive, #206, West Hills, CA 91307 | 2017-08-22 |
| 1447785035 | Natalie Rubinstein | Speech-Language Pathologist | 6708 Faust Ave, West Hills, CA 91307 | 2017-04-20 |
| 1649721473 | Shouridge Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6705 Shoup Avenue, West Hills, CA 91307 | 2016-10-17 |
| 1497206205 | Victory Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 22455 Victory Blvd, West Hills, CA 91307 | 2016-10-17 |
| 1881141406 | Shoup Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6450 Shoup Avenue, Woodland Hills, CA 91307 | 2016-09-01 |
| 1407216047 | Shahriar Rezania | Pharmacist | 7300 Medical Center Drive, West Hills, CA 91307 | 2016-02-24 |
| 1780057570 | Renee J Schuster-weiss | Marriage & Family Therapist | 6909 Minstrel Ave, West Hills, CA 91307 | 2015-11-03 |
| 1548649791 | Rozita Amirian | Pharmacist | 7230 Medical Center Dr Ste 106, West Hills, CA 91307 | 2015-05-20 |
| 1629462643 | Lorna David | Occupational Therapist | 7045 Sale Avenue, West Hills, CA 91307 | 2015-03-27 |
| Find all providers in zip 91307 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003218231 | Behrouz Dardashti, M.d., A Medical Corporation | Non-Pharmacy Dispensing Site | 7230 Medical Center Dr, Suite 305, West Hills, CA 91307-1907 | 2014-09-18 |
| 1598016784 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 7230 Medical Center Dr, Suite 500, West Hills, CA 91307-1907 | 2012-09-27 |
| 1366704033 | California Back and Pain Specialists, A Medical Corporation | Non-Pharmacy Dispensing Site | 7325 Medical Center Dr, Ste 206, West Hills, CA 91307-1925 | 2012-06-08 |
| 1346381704 | Health Care Partners, Inc. | Non-Pharmacy Dispensing Site | 7301 Medical Center Dr, Suite 500, West Hills, CA 91307-1904 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | WEST HILLS |
| Zip Code | 91307 |
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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.