Active NPI
Tarzana Hospitalist Medical Corporation
- Specialist
- Tarzana, CA
National Provider Identifier
1255564944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A61475
- Legal business name
- TARZANA HOSPITALIST MEDICAL CORPORATION
- Practice address
- 18399 Ventura Blvd
Suite 245
Tarzana, CA 91356-4233 - Phone
- (818) 609-7536
- Fax
- (818) 344-9670
- NPI assigned
- Aug 27, 2009
- Last updated
- Aug 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shahryar Thomas Yadegar, M.D.
- Title
- Officer
- Phone
- (818) 609-7536
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A61475 | CA | Primary |
Addresses
Primary practice location
18399 Ventura Blvd
Suite 245
Tarzana, CA 91356-4233
Mailing address
18399 Ventura Blvd
Suite 245
Tarzana, CA 91356-4233
Phone (818) 609-7536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18399 Ventura Blvd
Tarzana, CA 91356
Phone (818) 757-3200
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Specialist
- Tarzana, CA
- NPI 1174546493
-
- Internal Medicine Physician
- Reseda, CA
- NPI 1265477749
-
- Hospitalist Physician
- Tarzana, CA
- NPI 1790947471
-
- Hospitalist Physician
- Tarzana, CA
- NPI 1073536520
-
- Hospitalist Physician
- Tarzana, CA
- NPI 1154521730
-
- Hospitalist Physician
- Tarzana, CA
- NPI 1598993990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251331200000",
"number": "1255564944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18399 VENTURA BLVD",
"address_2": "SUITE 245",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564233",
"telephone_number": "818-609-7536",
"fax_number": "818-344-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18399 VENTURA BLVD",
"address_2": "SUITE 245",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564233",
"telephone_number": "818-609-7536",
"fax_number": "818-344-9670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARZANA HOSPITALIST MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A",
"authorized_official_last_name": "YADEGAR",
"authorized_official_first_name": "SHAHRYAR",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "818-609-7536",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A61475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
- Tarzana Endocrine & Medical Group
- Tarzana Foot and Ankle Center Inc
- Tarzana Garden OB GYN
- Tarzana Hospice and Palliative Care
- Tarzana Hospice Inc
- Tarzana Manor
- Tarzana Medical Center LLC (Providence Cedars-Sinai Tarzana Medical Center)
- Tarzana Medical Urgent Care - a Professional Medical Corporation
- Tarzana Optimal Medical Center Inc
- Tarzana Pain and Wound Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.