Active NPI
Heather Shenkman Medical Corporation
- Interventional Cardiology Physician
- Tarzana, CA
National Provider Identifier
1063926848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A98800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Joy Shenkman, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 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 CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
18663 Ventura Blvd
Ste 202
Tarzana, CA 91356
Phone (818) 600-1005
Interoperability endpoints
- 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.
-
- Interventional Cardiology Physician
- Tarzana, CA
- NPI 1215918800
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1821744913
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.