Valley Vita Medical Center, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VALLEY VITA MEDICAL CENTER, INC

Doing business as

Tarzana Valley Vita Medical Center

Practice address

18607 Ventura Blvd.,
Suite 206
Tarzana, CA 91356-4144

Phone

(818) 758-8282

Fax

(818) 758-8286

NPI assigned

Jun 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yuzef Gurovich, M.D.

Title

Owner/Ceo

Phone

(805) 910-0333

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tarzana Valley Vita Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zinovy N Lekht, M.D

  • Neurology Physician
  • Sun Valley, CA
  • NPI 1427093236
  Medicare reassignment Care Compare group NPD
• Dmitriy Romanenko, M.D.,

  • Obstetrics & Gynecology Physician
  • South Gate, CA
  • NPI 1881894715

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Arkady Stern, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1033198882
  Medicare reassignment Care Compare group NPD
• Khanh Tuan Duong, D.P.M.

  • Podiatrist
  • Westminster, CA
  • NPI 1295754125
  Medicare reassignment NPD
• Sedi Hadadian, MD

  • Obstetrics & Gynecology Physician
  • Burbank, CA
  • NPI 1326295452
  Medicare reassignment NPD
• Rubio Reyes Punzalan, M.D.

  • General Practice Physician
  • San Marino, CA
  • NPI 1093937708
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1003857434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD.,",
            "address_2": "SUITE 206",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564144",
            "telephone_number": "818-758-8282",
            "fax_number": "818-758-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD.,",
            "address_2": "SUITE 206",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564144",
            "telephone_number": "818-758-8282",
            "fax_number": "818-758-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VITA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "GUROVICH",
        "authorized_official_first_name": "YUZEF",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "805-910-0333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ02527Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarzana Valley Vita Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valley Nerological Services, LLC
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• Valley Regional Arrhythmia Center Inc (James Ong M.D.)
• Valley Womans Institute Inc
• Madeline Valobra
• Valu-RX Inc (Shangoo Pharmacy)
• Katie Van Dyke
• Shernnet Vance, LVN

• Family Medicine Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.