Motion Picture and Television Fund Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP INC

Practice address

25751 McBean Pkwy
Ste 210
Valencia, CA 91355-3701

Phone

(661) 284-3100

Fax

(818) 876-1516

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Seth Ellis

Title

VP Chief Operating

Phone

(818) 876-1079

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SANTA CLARITA HEALTH CENTER Other name

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1184641920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23388 MULHOLLAND DR",
            "address_2": "MAILSTOP 62",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642733",
            "telephone_number": "818-876-1636",
            "fax_number": "818-876-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25751 MCBEAN PKWY",
            "address_2": "STE 210",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553701",
            "telephone_number": "661-284-3100",
            "fax_number": "818-876-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "VP CHIEF OPERATING",
        "authorized_official_telephone_number": "818-876-1079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ09386Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANTA CLARITA HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in Valencia, CA
• Providers in Valencia, 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 Feb 8, 2010; 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.