GRAHAM MOUW, M.D., A MEDICAL CORPORATION (NPI# 1457741076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457741076 |
| Entity Type | Organization |
| Organization Name | GRAHAM MOUW, M.D., A MEDICAL CORPORATION |
| Practice Address |
5525 Etiwanda Ave Suite 324 Tarzana CA 91356-3647 |
| Practice Telephone | 8188952126 |
| Practice Fax Number | 8183047546 |
| Mailing Telephone | 8188952126 |
| Mailing Fax Number | 8183047546 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-07 |
| Authorized Official Name | MAE VARON (CREDENTIALING) |
| Authorized Official Telephone | 8188952126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | A78281 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5525 ETIWANDA AVE SUITE 324 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237833 | Michael D. Landman | Otolaryngology | 5525 Etiwanda Ave, Ste 312, Tarzana, CA 91356-6126 | 2005-06-28 |
| 1649663675 | Darryl J Ballin, Md, Inc | Internal Medicine | 5525 Etiwanda Ave, 224, Tarzana, CA 91356-3647 | 2015-03-16 |
| 1518359850 | Ent Group of Los Angeles | Otolaryngology | 5525 Etiwanda Ave, Suite 312, Tarzana, CA 91356-3647 | 2015-02-24 |
| 1346658200 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 5525 Etiwanda Ave, Suite 312, Tarzana, CA 91356-3647 | 2014-07-23 |
| 1750795613 | South Valley Physician Group, Inc. | Internal Medicine | 5525 Etiwanda Ave, Suite 200, Tarzana, CA 91356-3647 | 2014-06-18 |
| 1285068700 | Leilah Lewin | Social Worker | 5525 Etiwanda Ave, 315, Tarzana, CA 91356-3647 | 2013-09-03 |
| 1629311840 | Michelle Susan Shukhman | Internal Medicine | 5525 Etiwanda Ave, Suite #320, Tarzana, CA 91356-3647 | 2013-04-05 |
| 1013259530 | David Hoenig Md Inc | Anesthesiology | 5525 Etiwanda Ave, Suite 217, Tarzana, CA 91356-3647 | 2013-03-22 |
| 1700125168 | Tanaz Kahen Md Inc | Obstetrics & Gynecology | 5525 Etiwanda Ave, Suite 209, Tarzana, CA 91356-3647 | 2013-02-05 |
| 1306184627 | Total Care Pt Inc | Physical Therapist | 5525 Etiwanda Ave, Suite 110, Tarzana, CA 91356-3647 | 2013-01-21 |
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| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144477 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 | 2020-11-04 |
| 1013524123 | Hubert Tsun-yin Lee | Neurological Surgery | 1201 Welch Road, Stanford, CA 94305-5327 | 2020-09-24 |
| 1811500267 | Chaparral Medical Group, Inc. | Neurological Surgery | 9120 Haven Ave Ste 201, Rancho Cucamonga, CA 91730-5413 | 2020-08-26 |
| 1982259461 | Mauricio Mandel Brigido | Neurological Surgery | 300 Pasteur Dr # R281, Stanford, CA 94305-2200 | 2019-08-01 |
| 1538713227 | Sylvain Palmer Md Inc | Neurological Surgery | 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691-6376 | 2019-07-31 |
| 1851945877 | X.sean Xin, Do Inc. | Neurological Surgery | 7230 Med Ctr Dr Ste 600, West Hills, CA 91307-4017 | 2019-07-29 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1598317711 | Newport Beach Neurosurgical Institute | Neurological Surgery | 1501 Superior Ave Ste 214b, Newport Beach, CA 92663-3600 | 2019-07-09 |
| 1609438761 | Py26 Neurosurgery, PC | Neurological Surgery | 120 S Spalding Dr Ste 305, Beverly Hills, CA 90212-1800 | 2019-06-28 |
| 1679133664 | Sequoia Neurosurgery, Inc. | Neurological Surgery | 306 N Conyer St Ste A, Visalia, CA 93291-4704 | 2019-06-20 |
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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.