VALLEY PULMONARY MEDICAL GROUP (NPI# 1568689966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568689966 |
| Entity Type | Organization |
| Organization Name | VALLEY PULMONARY MEDICAL GROUP |
| Practice Address |
18546 Roscoe Blvd Ste 308 Northridge CA 91324-4669 |
| Practice Telephone | 8183492931 |
| Practice Fax Number | 8183497930 |
| Mailing Telephone | 8183492931 |
| Mailing Fax Number | 8183497930 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-05-25 |
| Authorized Official Name | DR. JEAN GRANT HAWKINS (OWNER) |
| Authorized Official Telephone | 8183492931 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G43200 | CA | Other Service Providers |
| Street Address |
18546 ROSCOE BLVD STE 308 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324-4669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803461 | Endeavor Recovery LLC | Clinic/Center | 8537 Yolanda Ave, Northridge, CA 91324 | 2020-02-20 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1023674421 | Expo Diagnostics, Inc. | Clinic/Center | 8619 Receda Blvd., Northridge, CA 91324 | 2019-05-13 |
| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
| Find all providers in zip 91324 | ||||
| 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 |
|---|---|---|---|---|
| 1720426489 | Melinda Rachel Wilson | Specialist | 18618 Rayen St, Northridge, CA 91324-4030 | 2013-06-04 |
| 1699053397 | Donald Rex Simpson | Specialist | 17425 Parthenia St, Northridge, CA 91325-3240 | 2011-07-28 |
| 1720123458 | Alan Cohler | Specialist | 9731 Bothwell Rd, Northridge, CA 91311 | 2007-02-20 |
| 1811032923 | Adel F. Jabour, M.d Inc | Specialist | 18350 Roscoe Blvd Ste 200, Northridge, CA 91325-4147 | 2007-02-20 |
| 1528123346 | Gps Medical, Inc | Specialist | 17075 Devonshire St #201, Northridge, CA 91325-5407 | 2006-12-22 |
| 1629132535 | Cardiology Practice Medical Group | Specialist | 17075 Devonshire St Ste 201, Northridge, CA 91325-5407 | 2006-12-22 |
| 1063585164 | Samuel Leibovici | Specialist | 18250 Roscoe Blvd Ste 200, Northridge, CA 91325-4226 | 2006-11-16 |
| 1730251414 | David H Zimmer | Specialist | 18810 Kirkcolm Ln, Northridge, CA 91326-1142 | 2006-11-15 |
| 1144242645 | Richard Kenneth Gordon | Specialist | 8700 Reseda Blvd, Suite 204, Northridge, CA 91324-4041 | 2006-07-24 |
| 1275565608 | Marc M Kerner | Specialist | 18350 Roscoe Blvd Ste 318, Northridge, CA 91325-4164 | 2006-07-07 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91324 |
Please comment or provide details below to improve the information on VALLEY PULMONARY MEDICAL GROUP.
| 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.