STEPHEN G AXELRODE (NPI# 1871694398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871694398 |
| Entity Type | Individual |
| Full Name | STEPHEN G AXELRODE |
| Credential | D.O. |
| Practice Address |
26585 Agoura Rd Ste 330 Calabasas CA 91302-1958 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 8188761050 |
| Practice Fax Number | 8188761026 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A4852 | CA | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
20A4852 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 020A48520 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23388 Mulholland Dr, Woodland Hills, CA 913642733 | 8188764055 | 8188764094 |
| 4323 W Riverside Dr, Burbank, CA 915054044 | 8185562700 | 8182953450 |
| Street Address |
26585 AGOURA RD STE 330 |
| City | CALABASAS |
| State | CA |
| Zip Code | 91302-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952797367 | Regents of The University of California | Clinic/Center | 26585 Agoura Rd Ste 330, Calabasas, CA 91302-1958 | 2015-04-13 |
| 1174964894 | Sharon Kim Macaluso | Family Medicine | 26585 Agoura Rd Ste 330, Calabasas, CA 91302-1958 | 2013-07-10 |
| 1144587676 | Patrick Michael Yaffee | Internal Medicine | 26585 Agoura Rd Ste 330, Calabasas, CA 91302-1958 | 2012-04-22 |
| 1912068370 | Gisele Wudka | Internal Medicine | 26585 Agoura Rd Ste 330, Calabasas, CA 91302-1958 | 2006-12-12 |
| 1639242241 | Richard H Lander | Internal Medicine | 26585 Agoura Rd Ste 330, Calabasas, CA 91302-1958 | 2006-11-15 |
| 1760554026 | Luz Stella Delportillo | Internal Medicine | 26585 Agoura Rd Ste 330, Calabasas, CA 91302-1958 | 2006-11-14 |
| 1740381177 | Keith S Garb | Internal Medicine | 26585 Agoura Rd Ste 330, Calabasas, CA 91302-1958 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564921 | Joanna Sara Gould | Social Worker | 3520 Consuelo Drive, Calabasas, CA 91302 | 2020-10-08 |
| 1104485069 | Shannon Bright | Behavior Technician | 5741 Las Virgenes Rd, Calabasas, CA 91302 | 2019-06-13 |
| 1356857494 | Evolve Growth Initiatives LLC | Substance Abuse Rehabilitation Facility | 423 Woodbluff Rd, Calabasas, CA 91302 | 2017-12-27 |
| 1700302684 | Supreme Diagnostics Inc. | Radiology | 26213 Veva Way, Calabasas, CA 91302 | 2017-08-22 |
| 1528590817 | Nataliya Bulba | Pharmacist | 5544 Las Virgenes Road 107, Calabasas, CA 91302 | 2017-03-28 |
| 1477933794 | Samantha Cassandra Madziarski | Psychiatry & Neurology | 26135 Mureau Rd Ste 101, Calabasas, CA 91302 | 2015-06-02 |
| 1659778694 | Sharon Hensel-cohen | Speech-Language Pathologist | 4302 Park Paloma, Calabasas, CA 91302 | 2014-11-19 |
| 1699171066 | Deborah Heidi Cohen | Marriage & Family Therapist | 22231 Mulholland Highway, Suite 200, Calabasas, CA 91302 | 2014-11-13 |
| 1801297502 | Laurel Deurmier | Behavioral Analyst | 5741 Las Virgenes Rd Ste A, Calabasas, CA 91302 | 2014-09-12 |
| 1518383520 | Tammy Brandt | Psychologist | 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 | 2014-03-14 |
| Find all providers in zip 91302 | ||||
| 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 |
|---|---|---|---|---|
| 1376083154 | Andreh Saralou Md Incorporated | Family Medicine | 26147 Hatmor Dr, Calabasas, CA 91302-1021 | 2017-02-28 |
| 1134320625 | Noel Purkin | Family Medicine | 22549 Blueridge Ct, Calabasas, CA 91302-5897 | 2007-05-30 |
| 1164585196 | Joel Paul Popson | Family Medicine | 3561 Pansy Dr, Calabasas, CA 91302-2072 | 2006-12-19 |
| 1174614846 | James Hurvitz | Family Medicine | 26314 W Bravo Ln, Calabasas, CA 91302-1082 | 2006-09-27 |
| 1174964894 | Sharon Kim Macaluso | Family Medicine | 26585 Agoura Rd Ste 330, Calabasas, CA 91302-1958 | 2013-07-10 |
| 1629029996 | Kathleen B Anderson | Family Medicine | 23501 Park Sorrento, Suite 210, Calabasas, CA 91302-1308 | 2006-05-12 |
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| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
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| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
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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.