PACIFIC COAST PHYSICIANS GROUP, INC. (NPI# 1336542927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336542927 |
| Entity Type | Organization |
| Organization Name | PACIFIC COAST PHYSICIANS GROUP, INC. |
| Practice Address |
15720 Ventura Blvd Ste 400 Encino CA 91436-2911 |
| Practice Telephone | 8189868800 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |
| Authorized Official Name | MR. JONATHAN YAKER (VICE PRESIDENT) |
| Authorized Official Telephone | 8189868800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
15720 VENTURA BLVD STE 400 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316243223 | Irwin Steinberg | Radiology | 4054 Sapphire Dr, Encino, CA 91436-3647 | 2011-02-10 |
| 1316127848 | Shicare Radiology Network | Radiology | 5535 Balboa Blvd., Suite 227, Encino, CA 91316-1516 | 2007-11-13 |
| 1962607697 | Patrick Louis Alore | Radiology | 16130 Ventura Blvd Ste 100, Encino, CA 91436-2517 | 2007-06-21 |
| 1740358738 | Thomas Andrew Herbold | Radiology | 16661 Ventura Blvd Ste 100, Encino, CA 91436-1922 | 2006-11-30 |
| 1184672875 | Liberty Pacific Medical Imaging Encino, LLC | Radiology | 16130 Ventura Blvd, #100, Encino, CA 91436-2503 | 2006-05-04 |
| 1043280878 | Edwin L. Rodgers | Radiology | 16120 Sandy Ln, Encino, CA 91436-4222 | 2006-01-24 |
| 1740530765 | Radiology Disc of Miracle Mile Inc | Radiology | 16661 Ventura Blvd Ste 100, Encino, CA 91436-1922 | 2012-09-18 |
| 1588967566 | J. Bruce Jacobs, Md, Inc | Radiology | 17779 Ventura Blvd, Encino, CA 91316-3717 | 2010-12-13 |
| 1134456841 | Svr Imaging LLC | Radiology | 16633 Ventura Blvd, Suite 120, Encino, CA 91436-1801 | 2009-11-17 |
| 1215260377 | Bridge Medical Group, Inc. | Radiology | 15720 Ventura Blvd, Ste. 400, Encino, CA 91436-2914 | 2009-09-08 |
| Find all providers in ENCINO | ||||
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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.