Kenneth E Nyman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G27055 Issued in CA

Practice address

5525 Etiwanda Ave
Suite 222
Tarzana, CA 91356-3647

Phone

(818) 344-1001

Fax

(818) 344-4547

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Rheumatology

Education

University College of Medicine, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lawrence a. May, MD, Inc.Group PAC ID 7618068883, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBDHBA/Endpoint/GBDHBA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Aca Home Health Care, Inc.

  • Home Health Agency
  • Thousand Oaks, CA
  • NPI 1467684993

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lawrence a. May, M.D., Inc.

  • Internal Medicine Physician
  • Tarzana, CA
  • NPI 1992894240
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1093804304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18375 VENTURA BLVD",
            "address_2": "SUITE 626",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564218",
            "telephone_number": "818-908-8048",
            "fax_number": "818-908-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE",
            "address_2": "SUITE 222",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563647",
            "telephone_number": "818-344-1001",
            "fax_number": "818-344-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYMAN",
        "first_name": "KENNETH",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G27055",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G27055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093804304",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1992894240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sinahi Nunez-Crespo
• Jonathan Leonidas Nunez
• Michael Nuno, CAARR CAS. 2010
• Nurturing Tots, Inc.
• Nutradvice Inc.
• Linda Haruno Nyman, NP
• Anthony Nzeribe, LMFT
• Colleen Shea O'Connell, P.T.
• O2 Home Health Care, Inc.
• O2 Hospice, Inc.

• Internal Medicine Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.