NPIMap

Organization Active NPI

Anatoly Postolov M.D., a Professional Medical Corporation

  • Adult Mental Health Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1215972062
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
A72516 Issued in CA
Legal business name
ANATOLY POSTOLOV M.D., A PROFESSIONAL MEDICAL CORPORATION
Practice address
13749 Riverside Dr
Suit #: 200
Sherman Oaks, CA 91423-2415
Phone
(818) 501-4838
Fax
(818) 501-4348
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

Name
Anatoly Postolov, M.D
Title
President
Phone
(818) 501-4838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X A72516 CA Primary

Addresses

Primary practice location

13749 Riverside Dr
Suit #: 200
Sherman Oaks, CA 91423-2415

Mailing address

13749 Riverside Dr
Suit #: 200
Sherman Oaks, CA 91423-2415
Phone (818) 501-4838

Other identifiers 2

IdentifierTypeStateIssuer
WA72615COtherCAPPIN
W18400OtherCAGT ID

National Provider Directory

National Provider Directory
Tax ID family
Anatoly Postolov MD a Professional Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1215972062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13749 RIVERSIDE DR",
            "address_2": "SUIT #: 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232415",
            "telephone_number": "818-501-4838",
            "fax_number": "818-501-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13749 RIVERSIDE DR",
            "address_2": "SUIT #: 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232415",
            "telephone_number": "818-501-4838",
            "fax_number": "818-501-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANATOLY POSTOLOV M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "POSTOLOV",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-501-4838",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "A72516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WA72615C",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GT ID",
            "identifier": "W18400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.