Organization Active NPI

Venus Specialty Medical Corporation

  • Clinic/Center
  • Northridge, CA
National Provider Identifier
1306038062
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VENUS SPECIALTY MEDICAL CORPORATION
Practice address
17075 Devonshire St Ste 208
Northridge, CA 91325-5408
Phone
(818) 217-4351
Fax
(818) 217-4104
NPI assigned
Aug 15, 2007
Last updated
Aug 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Fariba Javaherian, MDNPI 1114088804
Title
Doctor
Phone
(818) 217-4351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

17075 Devonshire St Ste 208
Northridge, CA 91325-5408

Mailing address

17075 Devonshire St Ste 208
Northridge, CA 91325-5408
Phone (818) 217-4351

National Provider Directory

National Provider Directory

Locations

16101 Ventura Blvd
Ste 328
Encino, CA 91436
Phone (818) 219-7997

17075 Devonshire St
Ste 208
Northridge, CA 91325
Phone (818) 217-4351

17075 Devonshire St
Ste 328
Northridge, CA 91325

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1306038062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST STE 208",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255408",
            "telephone_number": "818-217-4351",
            "fax_number": "818-217-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST STE 208",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255408",
            "telephone_number": "818-217-4351",
            "fax_number": "818-217-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENUS SPECIALTY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "JAVAHERIAN",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "818-217-4351",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.