Active NPI
Misra Medical Corp
- Internal Medicine Physician
- Encino, CA
National Provider Identifier
1124730007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MISRA MEDICAL CORP
- Practice address
- 16542 Ventura Blvd Ste 304
Encino, CA 91436-5036 - Phone
- (818) 431-5511
- NPI assigned
- Dec 22, 2022
- 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
- Sulagna Misra, MD
- Title
- Owner
- Phone
- (818) 431-5511
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
16542 Ventura Blvd Ste 304
Encino, CA 91436-5036
Mailing address
16542 Ventura Blvd Ste 304
Encino, CA 91436-5036
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Sherman Oaks, CA
- NPI 1467673699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671667200000",
"number": "1124730007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16542 VENTURA BLVD STE 304",
"city": "ENCINO",
"state": "CA",
"postal_code": "914365036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16542 VENTURA BLVD STE 304",
"city": "ENCINO",
"state": "CA",
"postal_code": "914365036",
"telephone_number": "818-431-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISRA MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-22",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A",
"authorized_official_last_name": "MISRA",
"authorized_official_first_name": "SULAGNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-431-5511",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.