Organization Active NPI

Andrew M Fox MD Inc a Professional Medical Corporation

  • Neurological Surgery Physician
  • Sherman Oaks, CA
National Provider Identifier
1073254587
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ANDREW M FOX MD INC A PROFESSIONAL MEDICAL CORPORATION
Practice address
4849 Van Nuys Blvd Ste 203
Sherman Oaks, CA 91403-2122
Phone
(818) 616-4429
Fax
(818) 616-4829
NPI assigned
Apr 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Andrew M Fox, MD
Title
President
Phone
(818) 616-4429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

4849 Van Nuys Blvd Ste 203
Sherman Oaks, CA 91403-2122

Mailing address

4849 Van Nuys Blvd Ste 203
Sherman Oaks, CA 91403-2122
Phone (818) 616-4429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220418001972 CA Part B Supplier - Clinic/Group Practice 4486041605 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1073254587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 VAN NUYS BLVD STE 203",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032122",
            "telephone_number": "818-616-4429",
            "fax_number": "818-616-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 VAN NUYS BLVD STE 203",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032122",
            "telephone_number": "818-616-4429",
            "fax_number": "818-616-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW M FOX MD INC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-616-4429",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 6, 2022; 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.