Individual provider Active NPI

Miryam Liberman, M.D.

  • Internal Medicine Physician
  • Westlake Village, CA
National Provider Identifier
1013921634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G46897 Issued in CA
Practice address
31822 Village Center Rd
Suite 107
Westlake Village, CA 91361-4316
Phone
(818) 991-7315
Fax
(818) 991-0575
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G46897 CA Primary

Addresses

Primary practice location

31822 Village Center Rd
Suite 107
Westlake Village, CA 91361-4316

Mailing address

31822 Village Center Rd
Suite 107
Westlake Village, CA 91361-4316
Phone (818) 991-7315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G46897CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013921634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31822 VILLAGE CENTER RD",
            "address_2": "SUITE 107",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614316",
            "telephone_number": "818-991-7315",
            "fax_number": "818-991-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31822 VILLAGE CENTER RD",
            "address_2": "SUITE 107",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614316",
            "telephone_number": "818-991-7315",
            "fax_number": "818-991-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "MIRYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G46897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.