NPIMap

Organization Active NPI

Nelson E Koe MD a Professional Corporation

  • Anesthesiology Physician
  • Tarzana, CA
National Provider Identifier
1144238205
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G75682 Issued in CA
Legal business name
NELSON E KOE MD A PROFESSIONAL CORPORATION
Practice address
18321 Clark Street
Tarzana, CA 91356-3501
Phone
(818) 708-5285
Fax
(818) 708-5491
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Nelson E Koe, MDNPI 1174544472
Title
Pres Owner
Phone
(818) 708-5285

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X G75682 CA Primary

Addresses

Primary practice location

18321 Clark Street
Tarzana, CA 91356-3501

Mailing address

PO Box 260620
Encino, CA 91436-0620
Phone (818) 708-5285

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1144238205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260620",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914360620",
            "telephone_number": "818-708-5285",
            "fax_number": "818-708-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK STREET",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "818-708-5285",
            "fax_number": "818-708-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON E KOE MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "KOE",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "818-708-5285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G75682",
            "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 Oct 3, 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.