HARINA SHAJI MATTAPPALLY


Address: 6850 Sepulveda Blvd, Van Nuys, CA 91405-4444
Phone: 8187824104

HARINA SHAJI MATTAPPALLY (NPI# 1942834296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942834296
Entity Type Individual
Full Name HARINA SHAJI MATTAPPALLY
Practice Address 6850 Sepulveda Blvd
Van Nuys
CA 91405-4444
Mailing Address 21339 Blackhawk St
Chatsworth
CA 91311-2311
Practice Telephone 8187824104
Practice Fax Number 8184751823
Mailing Telephone 8187386155
Enumeration Date 2020-02-26
Last Update Date 2020-07-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95014015 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5601 De Soto Ave, Woodland Hills, CA 913676701 8187194813

Office Location

Street Address 6850 SEPULVEDA BLVD
City VAN NUYS
State CA
Zip Code 91405-4444

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477580298 Gnana Desigan Internal Medicine 6850 Sepulveda Blvd, Suite 214, Van Nuys, CA 91405 2006-06-27
1861945115 Hematology-oncology Medical Group of S F Valley Non-Pharmacy Dispensing Site 6850 Sepulveda Blvd, Suite 211, Van Nuys, CA 91405-4444 2016-08-03
1558625798 Kambiz Kosari Md Inc Surgery 6850 Sepulveda Blvd, Suite 210, Van Nuys, CA 91405-4446 2012-07-03
1124336789 Christina To Internal Medicine 6850 Sepulveda Blvd, Ste. 211, Van Nuys, CA 91405-4444 2010-09-16
1821205709 Hematology-oncology Medical Group of Sf Valley Internal Medicine 6850 Sepulveda Blvd, Ste 211, Van Nuys, CA 91405-4444 2007-05-17
1386791218 Suman N.patel,md A Professional Corporation Internal Medicine 6850 Sepulveda Blvd, Suite 217, Van Nuys, CA 91405-4444 2007-01-04
1437225174 Suman N Patel Internal Medicine 6850 Sepulveda Blvd, Suite 217, Van Nuys, CA 91405-4444 2006-11-27
1114091337 Suman N Patel Md A Prof Corp Internal Medicine 6850 Sepulveda Blvd, Ste 217, Van Nuys, CA 91405-4444 2006-11-20
1720163710 Aziz Berjis Podiatrist 6850 Sepulveda Blvd, #209, Van Nuys, CA 91405-4444 2006-10-26
1396846721 Kambiz Kosari Transplant Surgery 6850 Sepulveda Blvd, Suite 210, Van Nuys, CA 91405-4446 2006-09-26
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518504216 Mane Shamiryan Nurse Practitioner 7017 Van Nuys Blvd Ste 3, Van Nuys, CA 91405-3095 2019-12-02
1790216836 Jazmine Marie Scott Nurse Practitioner 5825 Woodman Ave, 4, Van Nuys, CA 91401-4432 2017-03-21
1003353723 Luiza Kristina Gevshanyan Nurse Practitioner 7033 Matilija Ave, Van Nuys, CA 91405-3332 2017-01-20
1902253792 Catherine Melliza Garganera-quinzon Nurse Practitioner 6544 Valjean Ave, Van Nuys, CA 91406-5824 2016-05-21
1316313190 Maria Nolasco Nurse Practitioner 15109 Vanowen Street, Van Nuys, CA 91409 2015-08-17
1942826896 Arbi Yaghoubi Masihi Nurse Practitioner 7017 Van Nuys Blvd Ste 3, Van Nuys, CA 91405-3095 2020-06-16
1568099547 Christina Leticia Noyola Nurse Practitioner 7138 Van Nuys Blvd, Van Nuys, CA 91405-3005 2020-03-27
1619517455 Monique Smallson Nurse Practitioner 7447 Sepulveda Blvd, Van Nuys, CA 91405-1631 2020-01-09
1568018273 Marlyn Murillo Nurse Practitioner 6511 Van Nuys Blvd, Van Nuys, CA 91401-1425 2019-08-18
1578125050 Ilona Hartvig Nurse Practitioner 14856 Vanowen St, Van Nuys, CA 91405-3828 2019-07-03
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Competitor

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City VAN NUYS
Zip Code 91405

Improve Information

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Dataset Information

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.

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