Organization Active NPI

Uri Ben-Zur M.D.,Inc

  • Preferred Provider Organization
  • Encino, CA
National Provider Identifier
1225304843
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
G75051 Issued in CA
Legal business name
URI BEN-ZUR M.D.,INC
Practice address
4549 Haskell Ave
4
Encino, CA 91436-3100
Phone
(818) 986-7460
Fax
(818) 285-4224
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Uri M Ben-Zur, M.D.NPI 1164433868
Title
President/Owner
Phone
(818) 986-7460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X G75051 CA
Preferred Provider Organization 305R00000X G75051 CA Primary
Point of Service 305S00000X G75051 CA

Addresses

Primary practice location

4549 Haskell Ave
4
Encino, CA 91436-3100

Mailing address

17609 Ventura Boulevard
106
Encino, CA 91316
Phone (818) 986-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000434 CA Part B Supplier - Clinic/Group Practice 0648331074 Receives reassigned benefits from 1 practitioner
Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

18200 Ventura Blvd
Tarzana, CA 91356
Phone (818) 570-1845

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1225304843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BOULEVARD",
            "address_2": "106",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-986-0911",
            "fax_number": "818-986-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4549 HASKELL AVE",
            "address_2": "4",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363100",
            "telephone_number": "818-986-7460",
            "fax_number": "818-285-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URI BEN-ZUR M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "BEN-ZUR",
        "authorized_official_first_name": "URI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-986-7460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "G75051",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "G75051",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "G75051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.