Comprehensive Infectious Disease Consultants a Medical Corporation

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

COMPREHENSIVE INFECTIOUS DISEASE CONSULTANTS A MEDICAL CORPORATION

Practice address

18370 Burbank Blvd
Ste 414
Tarzana, CA 91356-2804

Phone

(818) 506-3384

Fax

(818) 699-1278

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Shelub, MDNPI 1124103619

Title

President

Phone

(818) 506-3384

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Aaron Michael Shelub, M.D.

  • Specialist
  • Tarzana, CA
  • NPI 1124103619
  Medicare reassignment Authorized official
• Emily L Alexiadis, ACNP

  • Acute Care Nurse Practitioner
  • Tarzana, CA
  • NPI 1891297073
  Medicare reassignment
• Harkiran K Grewal, MD

  • Infectious Disease Physician
  • Castro Valley, CA
  • NPI 1790022416

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1063886166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572770",
            "address_2": "SUITE 415",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913572770",
            "telephone_number": "818-506-3384",
            "fax_number": "818-699-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "STE 414",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562804",
            "telephone_number": "818-506-3384",
            "fax_number": "818-699-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE INFECTIOUS DISEASE CONSULTANTS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "SHELUB",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-506-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.

Verify at the official NPI Registry.