SAN FERNANDO VALLEY NEUROLOGIC MEDICAL GROUP INC (NPI# 1083789390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083789390 |
| Entity Type | Organization |
| Organization Name | SAN FERNANDO VALLEY NEUROLOGIC MEDICAL GROUP INC |
| Practice Address |
18370 Burbank Blvd #107 Tarzana CA 91356 |
| Practice Telephone | 8189963880 |
| Practice Fax Number | 8189961679 |
| Mailing Telephone | 8189963880 |
| Mailing Fax Number | 8189961679 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | MR. MICHAEL A WIENIR (PRESIDENT) |
| Authorized Official Telephone | 8189963880 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
18370 BURBANK BLVD #107 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658811 | Ardeshir Soroushyari | Internal Medicine | 18370 Burbank Blvd, Ste 601, Tarzana, CA 91356-2831 | 2005-06-13 |
| 1700437241 | Michelle Roxas Tran | Nurse Practitioner | 18370 Burbank Blvd, Tarzana, CA 91356-2804 | 2019-09-26 |
| 1063886166 | Comprehensive Infectious Disease Consultants A Medical Corporation | Internal Medicine | 18370 Burbank Blvd, Ste 414, Tarzana, CA 91356-2804 | 2015-11-30 |
| 1700268372 | Tarzana Surgery Center, Inc. | Clinic/Center | 18370 Burbank Blvd, #100, Tarzana, CA 91356-2804 | 2015-06-19 |
| 1013300631 | Nicholas Michael Panagiotis, Md Inc | Specialist | 18370 Burbank Blvd, 507, Tarzana, CA 91356-2804 | 2015-03-05 |
| 1942698840 | Atif Alaziz M.d. Inc | Clinic/Center | 18370 Burbank Blvd, Suite 201, Tarzana, CA 91356-2804 | 2014-12-30 |
| 1720412281 | S S Medical Associates Inc | Ophthalmology | 18370 Burbank Blvd, Suite 207, Tarzana, CA 91356-2804 | 2013-09-02 |
| 1215272059 | Kamyar Kamjoo Md A Medical Corporation | Internal Medicine | 18370 Burbank Blvd, Suite 714, Tarzana, CA 91356-2804 | 2012-12-05 |
| 1811240989 | Shelley Susman, M.d., Inc. | Obstetrics & Gynecology | 18370 Burbank Blvd, Suite 100, Tarzana, CA 91356-2804 | 2012-10-26 |
| 1952675373 | Daryl P. Alexander, Md Apc | Obstetrics & Gynecology | 18370 Burbank Blvd, 100, Tarzana, CA 91356-2804 | 2012-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528375573 | David B Gelles | Psychiatry & Neurology | 4960 Amigo Ave, Tarzana, CA 91356-4506 | 2010-09-10 |
| 1740415686 | Daniel Ahoubim | Psychiatry & Neurology | 18370 Burbank Blvd Ste 414, Tarzana, CA 91356 | 2009-05-21 |
| 1801953955 | Neuro Care of Tarzana Medical Clinic, Inc | Psychiatry & Neurology | 18344 Clark St Suite # 208, Tarzana, CA 91356-3505 | 2007-01-01 |
| 1780796292 | Babak Morvarid | Psychiatry & Neurology | 19100 Ventura Blvd, Suite 14, Tarzana, CA 91356-3239 | 2006-08-31 |
| 1922570589 | Daniel Ahoubim, Md PC | Psychiatry & Neurology | 18370 Burbank Blvd Ste 414, Tarzana, CA 91356 | 2018-12-20 |
| 1699297473 | Neurology Consulting Inc | Psychiatry & Neurology | 18370 Burbank Blvd Ste 107, Tarzana, CA 91356-2813 | 2017-07-12 |
| 1396165205 | Morvarid Neurology, Inc. | Psychiatry & Neurology | 19100 Ventura Blvd, Suite 14, Tarzana, CA 91356-3239 | 2014-04-17 |
| 1568690691 | Rt Barowsky Inc | Psychiatry & Neurology | 18375 Ventura Blvd, Ste 501, Tarzana, CA 91356-4218 | 2009-06-26 |
| 1598823619 | Robert J Shorr | Psychiatry & Neurology | 18455 Burbank Blvd, Suite 105, Tarzana, CA 91356 | 2006-12-04 |
| 1932122413 | George Chow | Psychiatry & Neurology | 18370 Burbank Blvd, #107, Tarzana, CA 91356-2813 | 2006-07-25 |
| Find all providers in TARZANA | ||||
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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.