MR. GREG J. NELSON (NPI# 1558496950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558496950 |
| Entity Type | Individual |
| Full Name | MR. GREG J. NELSON |
| Credential | M.D. |
| Practice Address |
15243 Vanowen St Suite 212 Van Nuys CA 91405-3605 |
| Mailing Address |
Po Box 55637 Sherman Oaks CA 91413-0637 |
| Practice Telephone | 8187858707 |
| Practice Fax Number | 8187851152 |
| Mailing Telephone | 8187858707 |
| Mailing Fax Number | 8187851152 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G67260 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598274839 | Greg Nelson | Massage Therapist | 101 E Hastings Rd, Spokane, WA 99218-4901 | 2017-09-28 |
| Street Address |
15243 VANOWEN ST SUITE 212 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689667255 | Kiumars Samadani | Family Medicine | 15243 Vanowen St, Ste #311, Van Nuys, CA 91405-3605 | 2005-08-29 |
| 1265809032 | Eric Lionel Mendoza | Physical Therapy Assistant | 15243 Vanowen St, Suite 107, Van Nuys, CA 91405-3605 | 2015-08-27 |
| 1912310566 | La Familia Medical Clinic Inc. | Family Medicine | 15243 Vanowen St, Suite 107, Van Nuys, CA 91405-3605 | 2014-06-10 |
| 1124450580 | Jade T. Ong Dds. Inc. | Dentist | 15243 Vanowen St, Suite 404, Van Nuys, CA 91405-3605 | 2013-08-07 |
| 1164760823 | Beverly Radiology Medical Group | Radiology | 15243 Vanowen St, Van Nuys, CA 91405-3605 | 2013-01-30 |
| 1376848614 | West Coast Rheumatology Associates | Internal Medicine | 15243 Vanowen St, Suite 306, Van Nuys, CA 91405-3649 | 2011-01-18 |
| 1699086876 | R S Vasan M D A Professional Corporation | Specialist | 15243 Vanowen St, Suite 210, Van Nuys, CA 91405-3627 | 2010-06-23 |
| 1447480785 | Home Foot Care, Inc. | Podiatrist | 15243 Vanowen St, Suite 411b, Van Nuys, CA 91405-3605 | 2009-07-21 |
| 1578709283 | Jinus Emrani | Dentist | 15243 Vanowen St, Suite # 205, Van Nuys, CA 91405-3605 | 2008-12-30 |
| 1962686477 | Dr. Nasser Redjal M.d. A Professional Corporation | Specialist | 15243 Vanowen St, Ste. 304, Van Nuys, CA 91405-3605 | 2007-12-19 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013319938 | Angela Christine Dipietro | Specialist | 6265 Sepulveda Blvd Ste 10, Van Nuys, CA 91411-1127 | 2014-09-23 |
| 1164791935 | Richelle Jeannine Drake | Specialist | 15117 Haynes St., Van Nuys, CA 91411-1418 | 2011-12-22 |
| 1407094063 | Nasser Golian Moghadam | Specialist | 14600sherman Way Suit200, Van Nuys, CA 91405 | 2009-02-04 |
| 1992982110 | Shana Terry | Specialist | 13912 Oxnard St Apt 9, Van Nuys, CA 91401-3868 | 2008-01-30 |
| 1437287018 | Helen H Nam | Specialist | 15243 Vanowen St Ste 212, Van Nuys, CA 91405-3644 | 2007-03-02 |
| 1801924873 | Maria Delia Leviste | Specialist | 7136 Haskell Ave Ste 302, Van Nuys, CA 91406-4094 | 2007-03-01 |
| 1952440091 | Lee Hirsch | Specialist | 6960 Shoshone Ave, Van Nuys, CA 91406-4342 | 2007-02-05 |
| 1306904727 | Vikram Jeet Singh | Specialist | 6640 Van Nuys Blvd. Suite #101, Van Nuys, CA 91405 | 2006-12-05 |
| 1124124920 | Rabin Mizrahi | Specialist | 7218 Van Nuys Blvd Ste D, Van Nuys, CA 91405-6804 | 2006-09-16 |
| 1730282351 | Marilin Vargas | Specialist | 16745 Saticoy St, #113, Van Nuys, CA 91406 | 2006-09-07 |
| Find all providers in VAN NUYS | ||||
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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.