PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER, INC. (NPI# 1497807184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497807184 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER, INC. |
| Practice Address |
16661 Ventura Blvd Suite 613 Encino CA 91436-1914 |
| Mailing Address |
16661 Ventura Blvd Ste 718 Encino CA 91436-1995 |
| Practice Telephone | 8189860006 |
| Practice Fax Number | 8189862333 |
| Mailing Telephone | 8189860006 |
| Mailing Fax Number | 8189862333 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | DR. SAIED DALLALZADEH (PRESIDENT) |
| Authorized Official Telephone | 8189860006 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
00300204 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A489420 | 05 |
| Street Address |
16661 VENTURA BLVD SUITE 613 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642197 | All-med Home Health Services, Inc. | Home Health | 16661 Ventura Blvd, Suite 503, Encino, CA 91436-1914 | 2005-07-14 |
| 1104334473 | Parvin Jahanpanah | Marriage & Family Therapist | 16661 Ventura Blvd, Encino, CA 91436-1914 | 2018-01-19 |
| 1528594736 | Aluna Medical Group Inc | Family Medicine | 16661 Ventura Blvd, Suite 824, Encino, CA 91436-1914 | 2017-05-08 |
| 1992245914 | Jessica Chiles | Psychologist | 16661 Ventura Blvd, Suite #400-f, Encino, CA 91436-1914 | 2017-02-24 |
| 1659817062 | California Psychological Services, Inc. | Community/Behavioral Health | 16661 Ventura Blvd, Suite 400f, Encino, CA 91436-1914 | 2017-01-09 |
| 1366986101 | Philip Farzad Dds Dental Corp | Dentist | 16661 Ventura Blvd, Ste 815, Encino, CA 91436-1914 | 2016-12-13 |
| 1356893648 | Kate Polich | Marriage & Family Therapist | 16661 Ventura Blvd, Suite 226a, Encino, CA 91436-1914 | 2016-11-02 |
| 1629429295 | Erin Cantwell | Psychologist | 16661 Ventura Blvd, Ste 226a, Encino, CA 91436-1914 | 2016-06-24 |
| 1558725887 | Hila S Madani | Psychologist | 16661 Ventura Blvd, #520, Encino, CA 91436-1914 | 2016-04-12 |
| 1154785764 | Therapy With Roxanna, Inc | Health Maintenance Organization | 16661 Ventura Blvd, #444, Encino, CA 91436-1914 | 2016-04-09 |
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| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1962926147 | Spine Restoration A Medical Corporation | Clinic/Center | 16030 Ventura Blvd Ste 400, Encino, CA 91436-2778 | 2017-07-31 |
| 1831573815 | E. Tsimerinov, Md Neurology, Inc. | Clinic/Center | 17777 Ventura Blvd, Suite 137, Encino, CA 91316-3736 | 2015-07-19 |
| 1558635771 | Stephen J Friedman, Md PC | Clinic/Center | 16255 Ventura Blvd, Suite 120, Encino, CA 91436-2302 | 2012-03-06 |
| 1639343460 | Masoud Sadighpour, Md A Medical Corporation | Clinic/Center | 16542 Ventura Blvd, 302, Encino, CA 91436-2005 | 2008-04-14 |
| 1659583847 | Gastroenterology Associates of Southern California | Clinic/Center | 16311 Ventura Blvd., Suite 925, Encino, CA 98143 | 2007-05-03 |
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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.