PEDIATRIC CARE PHYSICIANS A PROFESSIONAL MEDICAL CORPORATION (NPI# 1912087057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912087057 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CARE PHYSICIANS A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
5353 Balboa Blvd #200 Encino CA 91316-2804 |
| Practice Telephone | 8184619690 |
| Practice Fax Number | 8184619482 |
| Mailing Telephone | 8184619690 |
| Mailing Fax Number | 8184619482 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOEL G. AUERBACH (CORPRATION PRESIDENT) |
| Authorized Official Telephone | 8184619690 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G068087 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5353 BALBOA BLVD #200 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483317 | Dur Enterprise Inc | Pharmacy | 5353 Balboa Blvd, Encino, CA 91316-2862 | 2005-08-04 |
| 1225526718 | Bahram Heshmatipour | Acupuncturist | 5353 Balboa Blvd, Encino, CA 91316-2804 | 2018-04-30 |
| 1639604028 | Head Bugs Inc. | Technician, Other | 5353 Balboa Blvd, Suite 100, Encino, CA 91316-2804 | 2017-04-24 |
| 1003353426 | Valuerx Inc | Pharmacy | 5353 Balboa Blvd, Encino, CA 91316-2804 | 2017-01-23 |
| 1962952077 | Eric Bartolo | Physical Therapist | 5353 Balboa Blvd, Suite 202, Encino, CA 91316-2804 | 2016-10-12 |
| 1326412800 | California Outpatient Anesthesia Specialists Team, Inc. | Anesthesiology | 5353 Balboa Blvd, Ste 300, Encino, CA 91316-2804 | 2015-11-20 |
| 1639540057 | Thiendang Nguyen Md Inc | Anesthesiology | 5353 Balboa Blvd, 300, Encino, CA 91316-2863 | 2015-10-12 |
| 1295106953 | Advanced Surgical Center of Encino, LLC | Clinic/Center | 5353 Balboa Blvd, Suite 302, Encino, CA 91316-2804 | 2015-10-07 |
| 1083006928 | Encino Anesthesia Associates Inc | Anesthesiology | 5353 Balboa Blvd, Ste 300, Encino, CA 91316-2804 | 2015-03-02 |
| 1184029027 | Prime Surgical Center of Encino | Clinic/Center | 5353 Balboa Blvd, Suite 300, Encino, CA 91316-2804 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184098410 | Susan Cook Shumway | Pediatrics | 17129 Rancho St, Encino, CA 91316-4023 | 2015-11-24 |
| 1891068961 | Melvin Howard Samuels | Pediatrics | 15655 Woodvale Road, Encino, CA 91436-3414 | 2012-02-20 |
| 1881998516 | Vincent Haynes | Pediatrics | 3519 Terrace View Dr, Encino, CA 91436-4017 | 2011-01-10 |
| 1134219983 | Helen A Lederer | Pediatrics | 5400 Balboa Blvd Ste 326, Encino, CA 91316-5214 | 2006-10-13 |
| 1649375239 | Carmen Julia Botero | Pediatrics | 5353 Balboa Blvd Ste 201, Encino, CA 91316-2865 | 2006-09-14 |
| 1861501926 | Howard J Reinstein | Pediatrics | 5400 Balboa Blvd Ste 103, Encino, CA 91316-5241 | 2006-08-30 |
| 1043275621 | Saied Dallalzadeh | Pediatrics | 16661 Ventura Blvd Ste 718, Encino, CA 91436-1995 | 2006-04-18 |
| 1861999872 | Miriam Chan | Pediatrics | 5400 Balboa Blvd Ste 326, Encino, CA 91316-5214 | 2018-04-07 |
| 1821484825 | Taryn Kilmer | Pediatrics | 5353 Balboa Blvd Ste 201, Encino, CA 91316-2865 | 2015-04-07 |
| 1134432446 | Daniel Eugene Bruckner | Pediatrics | 5400 Balboa Blvd Ste 326, Encino, CA 91316-5214 | 2010-07-16 |
| Find all providers in ENCINO | ||||
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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.