CANYON MEDICAL CENTER CORPORATION (NPI# 1164679718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164679718 |
| Entity Type | Organization |
| Organization Name | CANYON MEDICAL CENTER CORPORATION |
| Practice Address |
4937 Las Virgenes Rd Suite 104 Calabasas CA 91302-2949 |
| Practice Telephone | 8188800799 |
| Practice Fax Number | 8188806689 |
| Mailing Telephone | 8188800799 |
| Mailing Fax Number | 8188806689 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2014-11-14 |
| Authorized Official Name | DR. DAVID VESCO (OWNER) |
| Authorized Official Telephone | 8188800799 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
43384A | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972822666 | Canyon Medical Center Corporation | Non-Pharmacy Dispensing Site | 4937 Las Virgenes Rd Ste 104, Calabasas, CA 91302-2949 | 2010-05-20 |
| Street Address |
4937 LAS VIRGENES RD SUITE 104 |
| City | CALABASAS |
| State | CA |
| Zip Code | 91302-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073720850 | Tania Maria Baker | Dentist | 4937 Las Virgenes Rd, Suite 203, Calabasas, CA 91302-2949 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564921 | Joanna Sara Gould | Social Worker | 3520 Consuelo Drive, Calabasas, CA 91302 | 2020-10-08 |
| 1104485069 | Shannon Bright | Behavior Technician | 5741 Las Virgenes Rd, Calabasas, CA 91302 | 2019-06-13 |
| 1356857494 | Evolve Growth Initiatives LLC | Substance Abuse Rehabilitation Facility | 423 Woodbluff Rd, Calabasas, CA 91302 | 2017-12-27 |
| 1700302684 | Supreme Diagnostics Inc. | Radiology | 26213 Veva Way, Calabasas, CA 91302 | 2017-08-22 |
| 1528590817 | Nataliya Bulba | Pharmacist | 5544 Las Virgenes Road 107, Calabasas, CA 91302 | 2017-03-28 |
| 1477933794 | Samantha Cassandra Madziarski | Psychiatry & Neurology | 26135 Mureau Rd Ste 101, Calabasas, CA 91302 | 2015-06-02 |
| 1659778694 | Sharon Hensel-cohen | Speech-Language Pathologist | 4302 Park Paloma, Calabasas, CA 91302 | 2014-11-19 |
| 1699171066 | Deborah Heidi Cohen | Marriage & Family Therapist | 22231 Mulholland Highway, Suite 200, Calabasas, CA 91302 | 2014-11-13 |
| 1801297502 | Laurel Deurmier | Behavioral Analyst | 5741 Las Virgenes Rd Ste A, Calabasas, CA 91302 | 2014-09-12 |
| 1518383520 | Tammy Brandt | Psychologist | 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 | 2014-03-14 |
| Find all providers in zip 91302 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104263540 | Irving Malis | Family Medicine | 23312 Park Hacienda, Calabasas, CA 91302-1715 | 2013-05-24 |
| 1629084074 | David Michael Vesco | Family Medicine | 4937 Las Virgenes Rd Ste 104, Calabasas, CA 91302-2949 | 2006-07-31 |
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| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
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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.