DR. MICHAEL STEPHEN REDER (NPI# 1912919820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912919820 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL STEPHEN REDER |
| Credential | M.D. |
| Practice Address |
16500 Ventura Blvd Suite 320 Encino CA 91436-2011 |
| Practice Telephone | 8189861200 |
| Practice Fax Number | 8189863011 |
| Mailing Telephone | 8189861200 |
| Mailing Fax Number | 8189863011 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2015-01-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | C34552 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1089517 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700837259 | Michael William Reder | Allergy & Immunology | 1250 21st Ave Se, Minot, ND 58701-6256 | 2006-05-12 |
| Street Address |
16500 VENTURA BLVD SUITE 320 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386645083 | Danica Schulte | Allergy & Immunology | 16500 Ventura Blvd, Suite 360, Encino, CA 91436-2011 | 2005-08-03 |
| 1972138956 | Maria Guido | Behavior Technician | 16500 Ventura Blvd, Encino, CA 91436-2011 | 2020-03-10 |
| 1356973325 | Brittanny Carrera | Specialist/Technologist | 16500 Ventura Blvd, Encino, CA 91436-2011 | 2020-02-07 |
| 1689214223 | Danielle Heimanson | Speech-Language Pathologist | 16500 Ventura Blvd, Encino, CA 91436-2011 | 2020-01-12 |
| 1992345920 | Ithati Celis | Behavior Technician | 16500 Ventura Blvd, Encino, CA 91436-2011 | 2020-01-07 |
| 1407494404 | Arielle Krupnik | Behavior Technician | 16500 Ventura Blvd, Encino, CA 91436-2011 | 2019-12-20 |
| 1154965804 | Antigoni Mylonopoulos | Behavior Technician | 16500 Ventura Blvd, Encino, CA 91436-2011 | 2019-11-05 |
| 1205478070 | Mario A Aguiar | Behavior Technician | 16500 Ventura Blvd, Encino, CA 91436-2011 | 2019-10-14 |
| 1588214472 | Armando Hurtado | Behavior Technician | 16500 Ventura Blvd, Suite 125 and Suite 414, Encino, CA 91436 | 2019-09-12 |
| 1023666450 | Eric R Berry Jr. | Behavior Technician | 16500 Ventura Blvd, Encino, CA 91436 | 2019-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184603102 | Ali R Namazie | Otolaryngology | 16661 Ventura Blvd Ste 226, Encino, CA 91436-1947 | 2006-01-10 |
| 1689949018 | Michael S. Reder, M.d., A Medical Corporation | Otolaryngology | 16500 Ventura Blvd, Suite 320, Encino, CA 91436-2011 | 2012-03-19 |
| 1104046747 | Ali R Namazie Md A Medical Group, Inc | Otolaryngology | 16661 Ventura Blvd Ste 226, Encino, CA 91436-1947 | 2007-04-26 |
| 1023018108 | Harvey S Kulber | Otolaryngology | 5400 Balboa Blvd, 120, Encino, CA 91316-1502 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1922613207 | Resurgent Head and Neck Surgeons, Inc. | Otolaryngology | 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 | 2020-09-13 |
| 1427682764 | Angela A Chang Md A Professional Corporation | Otolaryngology | 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 | 2020-02-25 |
| 1376176164 | Jaime Munroe | Otolaryngology | 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 | 2020-02-19 |
| 1003389107 | James Jaber Md A Medical Corporation | Otolaryngology | 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 | 2019-01-10 |
| 1033680996 | Ent Medical and Surgical Care | Otolaryngology | 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883 | 2018-12-17 |
| 1477041952 | Ira Harold Buchalter | Otolaryngology | 2029 Tempranillo Ln, Brentwood, CA 94513-5291 | 2018-04-30 |
| 1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| 1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
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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.