Active NPI
Tri Valley Neurology Medical Associates Inc.
- Neurology Physician
- Mission Hills, CA
National Provider Identifier
1013932730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A56226
- Legal business name
- TRI VALLEY NEUROLOGY MEDICAL ASSOCIATES INC.
- Practice address
- 14901 Rinaldi St
Suite 325
Mission Hills, CA 91345-1204 - Phone
- (818) 898-9898
- Fax
- (818) 898-9899
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kanwal K Nayyar, MD
- Title
- President
- Phone
- (818) 898-9898
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A56226 | CA | Primary |
Addresses
Primary practice location
14901 Rinaldi St
Suite 325
Mission Hills, CA 91345-1204
Mailing address
14901 Rinaldi St
Suite 325
Mission Hills, CA 91345-1204
Phone (818) 898-9898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A562260 | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14901 Rinaldi St
Ste 325
Mission Hills, CA 91345
Phone (818) 898-9898
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Mission Hills, CA
- NPI 1043238371
-
- Neurology Physician
- Mission Hills, CA
- NPI 1912380783
-
- Neurology Physician
- Panorama City, CA
- NPI 1053365270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013932730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14901 RINALDI ST",
"address_2": "SUITE 325",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451204",
"telephone_number": "818-898-9898",
"fax_number": "818-898-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 RINALDI ST",
"address_2": "SUITE 325",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451204",
"telephone_number": "818-898-9898",
"fax_number": "818-898-9899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI VALLEY NEUROLOGY MEDICAL ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NAYYAR",
"authorized_official_first_name": "KANWAL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-898-9898",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A56226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "00A562260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.