Active NPI
Collective Health Group Inc
Doing business as Tarzana Medical Group
- General Practice Physician
- Tarzana, CA
National Provider Identifier
1245714351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- COLLECTIVE HEALTH GROUP INC
- Doing business as
- Tarzana Medical Group
- Practice address
- 18607 Ventura Blvd Ste 302
Tarzana, CA 91356-4158 - Phone
- (818) 745-7590
- Fax
- (818) 938-9193
- NPI assigned
- Sep 24, 2018
- Last updated
- Sep 25, 2018
- Organization subpart
- Yes
- Parent organization
- COLLECTIVE HEALTH GROUP INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David James Kyle, DO
- Title
- President/Ceo/Medical Director
- Phone
- (818) 745-7590
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
18607 Ventura Blvd Ste 302
Tarzana, CA 91356-4158
Mailing address
18607 Ventura Blvd Ste 302
Tarzana, CA 91356-4158
Phone (818) 745-7590
Other names 1
- TARZANA MEDICAL GROUP
National Provider Directory
National Provider Directory- Part of
- Collective Health Group Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537833600000",
"number": "1245714351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18607 VENTURA BLVD STE 302",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564158",
"telephone_number": "818-745-7590",
"fax_number": "818-938-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18607 VENTURA BLVD STE 302",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564158",
"telephone_number": "818-745-7590",
"fax_number": "818-938-9193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLECTIVE HEALTH GROUP INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COLLECTIVE HEALTH GROUP INC",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-25",
"status": "A",
"authorized_official_last_name": "KYLE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT/CEO/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "818-745-7590",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TARZANA MEDICAL GROUP",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TARZANA MEDICAL GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.