JANESRI DE SILVA, MD A PROF CORP (NPI# 1114253671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114253671 |
| Entity Type | Organization |
| Organization Name | JANESRI DE SILVA, MD A PROF CORP |
| Other Organization Name | KIDS & TEENS MEDICAL GROUP |
| Practice Address |
15211 Vanowen St Suite 102 Van Nuys CA 91405-3606 |
| Mailing Address |
18543 Devonshire St Suite 430 Northridge CA 91324-1308 |
| Practice Telephone | 8187827600 |
| Practice Fax Number | 8187829077 |
| Mailing Telephone | 8187827600 |
| Mailing Fax Number | 8187829077 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |
| Authorized Official Name | DR. JANESRI WIJAYANGANI DE SILVA (PRESIDENT) |
| Authorized Official Telephone | 8187827600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
A88991 | CA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | A88991 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A889910 | 05 |
| Other Name | Type Code |
|---|---|
| KIDS & TEENS MEDICAL GROUP | Doing Business As Name - Organization |
| Street Address |
15211 VANOWEN ST SUITE 102 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881698702 | Karl K Kaplan | Internal Medicine | 15211 Vanowen St, Ste 206, Van Nuys, CA 91405-3620 | 2005-06-09 |
| 1124577747 | Abimbola A Popoola | Nurse Practitioner | 15211 Vanowen St, #209, Van Nuys, CA 91405-3606 | 2016-09-23 |
| 1487934873 | Christopher Clauss | Physical Therapist | 15211 Vanowen St, Suite 105, Van Nuys, CA 91405-3606 | 2011-08-17 |
| 1669783122 | Familia Sana Medical Group Inc | Internal Medicine | 15211 Vanowen St, Suite # 206, Van Nuys, CA 91405-3606 | 2010-06-29 |
| 1770712663 | Nagaraj M Chetty,m.d. Inc. | Specialist | 15211 Vanowen St, #209, Van Nuys, CA 91405-3606 | 2009-07-13 |
| 1851595227 | Bernard Monderer, Md, Inc. | Ophthalmology | 15211 Vanowen St, Suite 210, Van Nuys, CA 91405-3606 | 2007-06-12 |
| 1174744874 | Said Hemmati | Surgery | 15211 Vanowen St, 205, Van Nuys, CA 91405-3606 | 2007-05-01 |
| 1194850446 | Emmett Berg Do Inc. and Holvey Medical Group Inc. | Family Medicine | 15211 Vanowen St, Suite 105, Van Nuys, CA 91405-3606 | 2007-02-23 |
| 1912046962 | Diplomat Specialty Pharmacy of Los Angeles County, LLC | Durable Medical Equipment & Medical Supplies | 15211 Vanowen St, Ste 301, Van Nuys, CA 91405-3606 | 2007-02-06 |
| 1306992904 | Raj S Ahluwalia | Specialist | 15211 Vanowen St, Ste 207, Van Nuys, CA 91405-3621 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| 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 |
|---|---|---|---|---|
| 1487298477 | Serra Community Medical Clinic, Inc. | Pediatrics | 6850 Sepulveda Blvd Ste 209, Van Nuys, CA 91405-4453 | 2019-11-01 |
| 1699818278 | Valley Mission Medical | Pediatrics | 6410 Van Nuys Blvd, Ste B, Van Nuys, CA 91401-1449 | 2007-02-14 |
| 1679625222 | Mehdi Amini Moghadam | Pediatrics | 7232 Van Nuys Blvd Suite 201, Van Nuys, CA 91405 | 2007-01-16 |
| 1194758409 | Lionel A Cone | Pediatrics | 7515 Van Nuys Blvd, Suite # 541 Mid Valley Comprehensive Health Center, Van Nuys, CA 91405-9149 | 2006-07-09 |
| 1154380574 | Sanaz Cordes | Pediatrics | 7138 Van Nuys Blvd., Van Nuys, CA 91405 | 2006-03-23 |
| 1699748301 | Rita Paraiso Guiamelon | Pediatrics | 7301 Sepulveda Blvd, Suite-3, Van Nuys, CA 91405-1782 | 2006-02-12 |
| 1619960457 | Harold T Wilson | Pediatrics | 16063 Vanowen St, Van Nuys, CA 91406-4810 | 2005-08-26 |
| 1972504793 | Annie Chen Jeng | Pediatrics | 7138 Van Nuys Blvd, Van Nuys, CA 91405-3005 | 2005-08-02 |
| 1447503974 | Serendib Healthways, Inc | Pediatrics | 14608 Victory Blvd, Van Nuys, CA 91411-1621 | 2012-10-22 |
| 1457642332 | Diego Mechoso, Md, Inc | Pediatrics | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2011-04-26 |
| Find all providers in VAN NUYS | ||||
Please comment or provide details below to improve the information on JANESRI DE SILVA, MD A PROF CORP.
| 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.