Individual provider Active NPI

Vlad Gendelman, M.D., FAAOS

  • Orthopaedic Surgery Physician
  • North Hollywood, CA
National Provider Identifier
1336339738
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A101034 Issued in CA
Practice address
10640 Riverside Dr
North Hollywood, CA 91602-2319
Phone
(818) 344-6784
Fax
(818) 344-6785
NPI assigned
Jul 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A101034 CA Primary

Addresses

Primary practice location

10640 Riverside Dr
North Hollywood, CA 91602-2319

Mailing address

10640 Riverside Dr
North Hollywood, CA 91602-2319
Phone (818) 344-6784

Other practice location 1

1711 W Temple St Ste 4607
Los Angeles, CA 90026-7337
Phone (323) 933-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000061 CA Practitioner - Orthopedic Surgery 6608910138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Irvine, California College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10640 Riverside Dr
N Hollywood, CA 91602-2319
Phone (818) 344-6784

12660 Riverside Dr
Suite 201
North Hollywood, CA 91607-3430

14806 Addison St
Sherman Oaks, CA 91403-1603

29170 Lido Bay Dr
Menifee, CA 92585-5619

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A101034CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vlad Gendelman MD Inc. Orthopaedic Surgery CurrentSince Feb 19, 2010 Accepting new patients

Locations

1711 W Temple St
Ste 4607
Los Angeles, CA 90026
Phone (213) 413-8418

6200 Wilshire Blvd
Ste 910
Los Angeles, CA 90048
Phone (323) 933-3434

10640 Riverside Dr
Toluca Lake, CA 91602
Phone (818) 643-0517

12660 Riverside Dr
Ste 201
Valley Village, CA 91607
Phone (818) 344-6784

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1336339738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022319",
            "telephone_number": "818-344-6784",
            "fax_number": "818-344-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022319",
            "telephone_number": "818-344-6784",
            "fax_number": "818-344-6785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 W Temple St Ste 4607",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900267337",
            "country_code": "US",
            "telephone_number": "323-933-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENDELMAN",
        "first_name": "VLAD",
        "name_prefix": "Dr.",
        "credential": "M.D., FAAOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A101034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.