Active NPI
Harvey S Kulber, MD
- Otolaryngology Physician
- Encino, CA
National Provider Identifier
1023018108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G12130
- Practice address
- 5400 Balboa Blvd
120
Encino, CA 91316-1502 - Phone
- (818) 788-0560
- Fax
- (818) 788-9910
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G12130 | CA | Primary |
Addresses
Primary practice location
5400 Balboa Blvd
120
Encino, CA 91316-1502
Mailing address
5400 Balboa Blvd
120
Encino, CA 91316-1502
Phone (818) 788-0560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G121300 | Medicaid | CA | |
| G12130 | Other | CA | LICENSE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G12130 | CA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1023018108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 BALBOA BLVD",
"address_2": "120",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161502",
"telephone_number": "818-788-0560",
"fax_number": "818-788-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 BALBOA BLVD",
"address_2": "120",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161502",
"telephone_number": "818-788-0560",
"fax_number": "818-788-9910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULBER",
"first_name": "HARVEY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G12130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G121300",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G12130",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.