Active NPI
William J Colburn, M.D.
- Specialist
- Canoga Park, CA
National Provider Identifier
1194744847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G33324
- Practice address
- 21114 Vanowen St
Canoga Park, CA 91303-2821 - Phone
- (818) 992-7848
- Fax
- (818) 992-7748
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G33324 | CA | Primary |
Addresses
Primary practice location
21114 Vanowen St
Canoga Park, CA 91303-2821
Mailing address
21114 Vanowen St
Canoga Park, CA 91303-2821
Phone (818) 992-7848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G33324 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33324 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1194744847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21114 VANOWEN ST",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913032821",
"telephone_number": "818-992-7848",
"fax_number": "818-992-7748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21114 VANOWEN ST",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913032821",
"telephone_number": "818-992-7848",
"fax_number": "818-992-7748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBURN",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G33324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G33324",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.