Everest Medical Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G42307 Issued in CA

Legal business name

EVEREST MEDICAL CENTER, INC.

Practice address

5400 Balboa Blvd Ste 331
Encino, CA 91316-5225

Phone

(818) 849-6777

Fax

(818) 858-1138

NPI assigned

Mar 31, 2016

Organization subpart

No

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

Authorized official

Name

Alex Edwin Everest, PHD

Title

Chief Financial Officer

Phone

(818) 849-6777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Randall A Caldron, MD

  • Obesity Medicine (Internal Medicine) Physician
  • West Hills, CA
  • NPI 1053475822
  NPD

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460246400000",
    "number": "1326401985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 331",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165225",
            "telephone_number": "818-849-6777",
            "fax_number": "818-858-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 331",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165225",
            "telephone_number": "818-849-6777",
            "fax_number": "818-858-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-04-10",
        "status": "A",
        "authorized_official_last_name": "EVEREST",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "818-849-6777",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G42307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2016; 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.