BORIS VAISMAN MEDICAL COPORATION (NPI# 1598911497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598911497 |
| Entity Type | Organization |
| Organization Name | BORIS VAISMAN MEDICAL COPORATION |
| Practice Address |
22600 Ventura Blvd Ste 101 Woodland Hills CA 91364-1430 |
| Mailing Address |
4932 Chimineas Ave Tarzana CA 91356-4302 |
| Practice Telephone | 8182251255 |
| Practice Fax Number | 8182258646 |
| Mailing Telephone | 8182251255 |
| Mailing Fax Number | 8182258646 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | DR. BORIS VAISMAN (CEO) |
| Authorized Official Telephone | 8182251255 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A92266 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 2901737 | 05 |
| Street Address |
22600 VENTURA BLVD STE 101 |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91364-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497846638 | Sofia Vaisman | Family Medicine | 22600 Ventura Blvd Ste 101, Woodland Hills, CA 91364-1430 | 2006-09-27 |
| 1346601440 | Rohit Thakur | Nurse Practitioner | 22600 Ventura Blvd Ste 101, Woodland Hills, CA 91364-1430 | 2016-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1629544531 | Jessica Sarah Anishban | Marriage & Family Therapist | 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 | 2018-10-17 |
| 1194249128 | Katia Siri | Acupuncturist | 4830 Winnetka Avenue, Woodland Hills, CA 91364 | 2017-08-01 |
| 1457881070 | Navid Messian | Marriage & Family Therapist | 5308 Penfield Ave., Woodland Hills, CA 91364 | 2017-06-15 |
| 1801330766 | Samantha Meghann Mathew | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 | 2016-12-12 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 1538516976 | Chris Massman | Marriage & Family Therapist | 5242 Darro Road, Woodland Hills, CA 91364 | 2016-05-16 |
| 1588065874 | Morrice Barkers Apprey | Marriage & Family Therapist | 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 | 2014-09-06 |
| 1144640723 | Kenneth Gustafson | Physical Therapy Assistant | 23888 Mulholland Drive, Ms # 270, Woodland Hills, CA 91364 | 2014-04-22 |
| Find all providers in zip 91364 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558507038 | Sidney Theodore Lubin | Family Medicine | 19963 Haynes St, Woodland Hills, CA 91367-2706 | 2009-01-05 |
| 1679749865 | Aimee Packer Ostick | Family Medicine | 21400 Ventura Blvd Ste C, Woodland Hills, CA 91364-2008 | 2008-05-07 |
| 1184803892 | Shashank Sharma | Family Medicine | 6236 Sale Ave, Woodland Hills, CA 91367-1725 | 2007-10-30 |
| 1396885570 | Pejman Bahari-nejad | Family Medicine | 20829 Ventura Blvd, Woodland Hills, CA 91364-2319 | 2007-02-07 |
| 1720096001 | Hamid Mirshojae | Family Medicine | 19825 Ventura Blvd, Woodland Hills, CA 91364-2627 | 2006-08-03 |
| 1407880156 | Gilbert Lloyd Solomon | Family Medicine | 6300 Canoga Ave, Seventh Floor, Woodland Hills, CA 91367-2555 | 2006-07-10 |
| 1558398602 | Majid Soleimani | Family Medicine | 5995 Topanga Canyon Blvd, Woodland Hills, CA 91367-3623 | 2006-06-26 |
| 1790179935 | Joshua Tarpley | Family Medicine | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2015-03-25 |
| 1043623531 | Maya Benitez | Family Medicine | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2014-06-03 |
| 1639589278 | Mandy Ching Kao | Family Medicine | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2014-05-05 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91364 |
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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.