Organization Active NPI

Sherman Oaks Family Medicine Inc

  • Family Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1285725473
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6692 Issued in CA
Legal business name
SHERMAN OAKS FAMILY MEDICINE INC
Practice address
4835 Van Nuys Blvd
208
Sherman Oaks, CA 91403-2109
Phone
(818) 981-9880
Fax
(818) 981-9884
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Donna Marie Cashdan, DONPI 1417957135
Title
President
Phone
(818) 981-9880

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A6692 CA Primary

Addresses

Primary practice location

4835 Van Nuys Blvd
208
Sherman Oaks, CA 91403-2109

Mailing address

4835 Van Nuys Blvd
208
Sherman Oaks, CA 91403-2109
Phone (818) 981-9880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110125000107 CA Part B Supplier - Clinic/Group Practice 6305870338 Receives reassigned benefits from 4 practitioners
Practice locations: Sherman Oaks, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1044882Sherman Oaks Family Medicine Inc4835 Van Nuys Blvd Ste 208, Sherman Oaks, CA 91403Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1285725473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD",
            "address_2": "208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032109",
            "telephone_number": "818-981-9880",
            "fax_number": "818-981-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD",
            "address_2": "208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032109",
            "telephone_number": "818-981-9880",
            "fax_number": "818-981-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN OAKS FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "CASHDAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-981-9880",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6692",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.