Active NPI
Fernando Noor
- Social Worker
- Van Nuys, CA
National Provider Identifier
1205500154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 120243
- Practice address
- 14624 Sherman Way Ste 404
Van Nuys, CA 91405-2289 - Phone
- (818) 778-5406
- NPI assigned
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Social Worker | 104100000X | 120243 | CA | Primary |
Addresses
Primary practice location
14624 Sherman Way Ste 404
Van Nuys, CA 91405-2289
Mailing address
16360 Roscoe Blvd FL 2
Van Nuys, CA 91406-1219
Phone (818) 371-9898
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120243 | CA | MD | Social Worker |
Interoperability endpoints
- telemed2u.fernandonoor@160918.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1205500154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16360 ROSCOE BLVD FL 2",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914061219",
"telephone_number": "818-371-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14624 SHERMAN WAY STE 404",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052289",
"telephone_number": "818-778-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOOR",
"first_name": "FERNANDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "120243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.