| San Fernando Valley Medical Group Inc | |
|
4955 Van Nuys Blvd. #502 Sherman Oaks CA 91403-1801 | |
| (818) 325-0200 | |
| (818) 325-0210 |
| Full Name | San Fernando Valley Medical Group Inc |
|---|---|
| Speciality | Hospitalist |
| Location | 4955 Van Nuys Blvd. #502, Sherman Oaks, California |
| Authorized Official Name and Position | Safa Anwar (OFFICE MANAGER) |
| Authorized Official Contact | 8183250200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Fernando Valley Medical Group Inc 4955 Van Nuys Blvd. #502 Sherman Oaks CA 91403-1801 Ph: (818) 325-0200 | San Fernando Valley Medical Group Inc 4955 Van Nuys Blvd. #502 Sherman Oaks CA 91403-1801 Ph: (818) 325-0200 |
| NPI Number | 1902188022 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 05/07/2014 |
| Medicare PECOS PAC ID | 9931360047 |
|---|---|
| Medicare Enrollment ID | O20120417000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902188022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Gagandeep S Rahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184948119 PECOS PAC ID: 5294911558 Enrollment ID: I20110520000537 |
| Provider Name | Parham Naghdechi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376701185 PECOS PAC ID: 5799947594 Enrollment ID: I20120424000042 |
| Provider Name | Borna Solomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124300082 PECOS PAC ID: 6507015120 Enrollment ID: I20120925000654 |
| Provider Name | Antony Macido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164766648 PECOS PAC ID: 8527211945 Enrollment ID: I20130116000153 |
| Provider Name | Bolatito Mary Abe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427286582 PECOS PAC ID: 7810140126 Enrollment ID: I20130118000211 |
| Provider Name | Daniel Amde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316218456 PECOS PAC ID: 9638311442 Enrollment ID: I20130807000508 |
| Provider Name | Sanket S Kunde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992905178 PECOS PAC ID: 0840345120 Enrollment ID: I20130820001034 |
| Provider Name | Ronnell Sangalang Regidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265861397 PECOS PAC ID: 3779807821 Enrollment ID: I20150120000369 |
| Provider Name | Vidya Vijay Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902273576 PECOS PAC ID: 2769790690 Enrollment ID: I20150925002523 |
| Provider Name | Muneeb Shabbir Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790120939 PECOS PAC ID: 2365758133 Enrollment ID: I20170405000581 |
| Provider Name | Erin F Gordon Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164837571 PECOS PAC ID: 9133420862 Enrollment ID: I20170522002449 |
| Provider Name | Ellen S Stolar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679898472 PECOS PAC ID: 5193967297 Enrollment ID: I20170530000008 |
| Provider Name | David Juyup Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770994659 PECOS PAC ID: 2769709310 Enrollment ID: I20170605002258 |
| Provider Name | Benjamin Milgrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962763938 PECOS PAC ID: 5395062426 Enrollment ID: I20170725001701 |
| Provider Name | Angela Altman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831612589 PECOS PAC ID: 9335223353 Enrollment ID: I20180213001466 |
| Provider Name | James S Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023405651 PECOS PAC ID: 3779869490 Enrollment ID: I20180903000121 |
| Provider Name | Lesly Ghiglino-duetsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750844759 PECOS PAC ID: 1254664071 Enrollment ID: I20190611001925 |
| Provider Name | Hambartsoum Mekharian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265095921 PECOS PAC ID: 6800121005 Enrollment ID: I20190710002478 |
| Provider Name | Tri M Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528599776 PECOS PAC ID: 7416387485 Enrollment ID: I20200415003573 |
| Provider Name | Kristine Vardanyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972023778 PECOS PAC ID: 2062739170 Enrollment ID: I20200728001604 |
| Provider Name | Eugene Tsyganovskiy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174055008 PECOS PAC ID: 8325465834 Enrollment ID: I20200828002551 |
| Provider Name | Jesse Liangyu Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902390990 PECOS PAC ID: 0840697496 Enrollment ID: I20210923002326 |
| Provider Name | Chang Sung Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568922649 PECOS PAC ID: 8022496991 Enrollment ID: I20220606000604 |
| Provider Name | Dondae Cabreta Pangilinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861142028 PECOS PAC ID: 9638548621 Enrollment ID: I20230214002876 |
| Provider Name | Caroline Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881308823 PECOS PAC ID: 5799159786 Enrollment ID: I20230314001540 |
| Provider Name | Joshua Saul Vapnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659934214 PECOS PAC ID: 2466818869 Enrollment ID: I20231012001950 |
| Provider Name | Arpine Ter Hovhannisyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861275067 PECOS PAC ID: 7911355961 Enrollment ID: I20231130003193 |
| Provider Name | John Thomas Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902499056 PECOS PAC ID: 1850743931 Enrollment ID: I20240115001495 |
Gary Schneider D O Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4835 Van Nuys Blvd Ste 109, Sherman Oaks, CA 91403 Phone: 818-905-9586 Fax: 818-905-0130 | |
Joey Brett Md A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13320 Riverside Dr, Suite 104, Sherman Oaks, CA 91423 Phone: 818-789-0034 Fax: 818-789-0042 | |
Ali Sheybani Medical Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4955 Van Nuys Blvd, Suite 405, Sherman Oaks, CA 91403 Phone: 818-464-4870 Fax: 818-464-4877 | |
Alberto X. Campain, M.d., A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Van Nuys Blvd., Suite 200, Sherman Oaks, CA 91403 Phone: 818-528-1090 Fax: 818-528-1099 | |
Maximum Care Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Van Nuys Blvd, Suite 306, Sherman Oaks, CA 91403 Phone: 818-426-0886 | |
Peter P. Koenig, M.d., Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Van Nuys Blvd., Suite 200, Sherman Oaks, CA 91403 Phone: 818-528-1222 Fax: 828-528-1225 | |
Health West Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14417 Burbank Blvd, Sherman Oaks, CA 91401 Phone: 818-786-3318 |