Organization Active NPI

Tarzana Endocrine & Medical Group

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1205831583
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TARZANA ENDOCRINE & MEDICAL GROUP
Practice address
18370 Burbank Blvd
Ste 601
Tarzana, CA 91356-2831
Phone
(818) 996-5700
Fax
(818) 996-1649
NPI assigned
Jun 14, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Gary Tanouye, M.D.NPI 1326043738
Title
President
Phone
(818) 996-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X CA Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X CA
Clinical Medical Laboratory 291U00000X CLF298 CA

Addresses

Primary practice location

18370 Burbank Blvd
Ste 601
Tarzana, CA 91356-2831

Mailing address

18370 Burbank Blvd
Ste 601
Tarzana, CA 91356-2831
Phone (818) 996-5700

National Provider Directory

National Provider Directory

Locations

18370 Burbank Blvd
Ste 106
Tarzana, CA 91356
Phone 8189965700107

18370 Burbank Blvd
Ste 300
Tarzana, CA 91356

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205831583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "STE 601",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562831",
            "telephone_number": "818-996-5700",
            "fax_number": "818-996-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "STE 601",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562831",
            "telephone_number": "818-996-5700",
            "fax_number": "818-996-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA ENDOCRINE & MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TANOUYE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-996-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF298",
            "primary": false
        }
    ],
    "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 Jul 21, 2022; 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.