Organization Active NPI

Heather Shenkman Medical Corporation

  • Interventional Cardiology Physician
  • Tarzana, CA
National Provider Identifier
1063926848
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A98800 Issued in CA
Legal business name
HEATHER SHENKMAN MEDICAL CORPORATION
Practice address
18663 Ventura Blvd Ste 202
Tarzana, CA 91356-4151
Phone
(818) 938-9505
Fax
(818) 938-9513
NPI assigned
Nov 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Heather Joy Shenkman, M.D.NPI 1215918800
Title
President
Phone
(818) 938-9505

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)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X A98800 CA Primary

Addresses

Primary practice location

18663 Ventura Blvd Ste 202
Tarzana, CA 91356-4151

Mailing address

18663 Ventura Blvd Ste 202
Tarzana, CA 91356-4151
Phone (818) 497-7857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180119002126 CA Part B Supplier - Clinic/Group Practice 0941569933 Receives reassigned benefits from 2 practitioners
Practice locations: Encino, CA
O20240521003166 CA Part B Supplier - Intensive Cardiac Rehabilitation 0941569933 Receives reassigned benefits from 1 practitioner
Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

18663 Ventura Blvd
Ste 202
Tarzana, CA 91356
Phone (818) 600-1005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16787/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1063926848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18663 VENTURA BLVD STE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564151",
            "telephone_number": "818-497-7857",
            "fax_number": "818-350-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18663 VENTURA BLVD STE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564151",
            "telephone_number": "818-938-9505",
            "fax_number": "818-938-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER SHENKMAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "SHENKMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-938-9505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A98800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.