Organization Active NPI

Sherman Oaks Cardiology Associates

  • Cardiovascular Disease Physician
  • Sherman Oaks, CA
National Provider Identifier
1043299654
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SHERMAN OAKS CARDIOLOGY ASSOCIATES
Practice address
4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702
Phone
(818) 907-4530
Fax
(818) 907-4530
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Roger Chang On, M.D.
Title
Chairman
Phone
(818) 783-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702

Mailing address

4835 Van Nuys Blvd
Suite 114
Sherman Oaks, CA 91403-2109
Phone (818) 783-0800

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ36337AOtherCABLUE SHIELD PROVIDER NUMB
GR0050340MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1043299654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD",
            "address_2": "SUITE 114",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032109",
            "telephone_number": "818-783-0800",
            "fax_number": "818-783-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031702",
            "telephone_number": "818-907-4530",
            "fax_number": "818-907-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN OAKS CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "ON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "CHANG",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "818-783-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "ZZZ36337A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.