Organization Active NPI

Alan Charnelle MD

Doing business as Panorama Professional Medical Group

  • Clinic/Center
  • Panorama City, CA
National Provider Identifier
1104088681
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ALAN CHARNELLE MD
Doing business as
Panorama Professional Medical Group
Practice address
9561 Van Nuys Blvd
Panorama City, CA 91402-1344
Phone
(818) 892-4301
Fax
(818) 891-7996
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Alan Charnelle, M.D.
Title
Owner
Phone
(818) 892-4301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

9561 Van Nuys Blvd
Panorama City, CA 91402-1344

Mailing address

9561 Van Nuys Blvd
Panorama City, CA 91402-1344
Phone (818) 892-4301

Other names 1

  • Panorama Professional Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

9561 Van Nuys Blvd
Panorama City, CA 91402
Phone (818) 892-4301

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1104088681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9561 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021344",
            "telephone_number": "818-892-4301",
            "fax_number": "818-891-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9561 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021344",
            "telephone_number": "818-892-4301",
            "fax_number": "818-891-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN CHARNELLE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "CHARNELLE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-892-4301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panorama Professional Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.