DR. EDWARD GRANT SHORE (NPI# 1699846709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699846709 |
| Entity Type | Individual |
| Full Name | DR. EDWARD GRANT SHORE |
| Credential | MD |
| Practice Address |
15243 Vanowen St Ste 412 Van Nuys CA 91405-3662 |
| Mailing Address |
4139 Camino De La Cumbre Sherman Oaks CA 91423-4023 |
| Practice Telephone | 8187834800 |
| Practice Fax Number | 8187816644 |
| Mailing Telephone | 8187897032 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
G7953 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
15243 VANOWEN ST STE 412 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-3662 |
| 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 | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1790906568 | Vishakalakshmi Subbiah | Family Medicine | 7515 Van Nuys Blvd, Van Nuys, CA 91405-1949 | 2007-05-01 |
| 1942382007 | Emmett A. Berg | Family Medicine | 15211 Vanowen St, Suite 105, Van Nuys, CA 91405-3606 | 2006-10-19 |
| 1740361096 | Barry S. Rosenblum | Family Medicine | 15211 Vanowen St, Suite 105, Van Nuys, CA 91405-3606 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| 1265902928 | Shivangi Amin Md, Inc | Family Medicine | 701 N Alvarado St Fl 1, Los Angeles, CA 90026 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
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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.