Organization Active NPI

Encino Medical Center

  • Health Maintenance Organization
  • Encino, CA
National Provider Identifier
1184160756
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
A85825 Issued in CA
Legal business name
ENCINO MEDICAL CENTER
Practice address
17251 Ventura Blvd
Encino, CA 91316-4007
Phone
(818) 386-0777
Fax
(818) 386-1930
NPI assigned
Jan 6, 2017
Last updated
Jan 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Dr. Sina Solayman, MD
Title
Medical Director
Phone
(818) 386-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X A85825 CA Primary

Addresses

Primary practice location

17251 Ventura Blvd
Encino, CA 91316-4007

Mailing address

17251 Ventura Blvd
Encino, CA 91316-4007
Phone (818) 386-0777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1184160756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17251 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164007",
            "telephone_number": "818-386-0777",
            "fax_number": "818-386-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17251 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164007",
            "telephone_number": "818-386-0777",
            "fax_number": "818-386-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "SOLAYMAN",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-386-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "A85825",
            "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 Jan 6, 2017; 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.