Canoga Park Medical Group a Professional Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A28598 Issued in CA

Legal business name

CANOGA PARK MEDICAL GROUP A PROFESSIONAL CORP

Practice address

7301 Medical Center Dr
Suite 405
West Hills, CA 91307-1904

Phone

(818) 347-3077

Fax

(818) 347-8334

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Robert A Perlmutter, M.D.

Title

President

Phone

(818) 347-3077

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1346429313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR",
            "address_2": "SUITE 405",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071904",
            "telephone_number": "818-347-3077",
            "fax_number": "818-347-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR",
            "address_2": "SUITE 405",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071904",
            "telephone_number": "818-347-3077",
            "fax_number": "818-347-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOGA PARK MEDICAL GROUP A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "PERLMUTTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-347-3077",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A28598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ72255Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calin Arimie MD AMC
• Barbara Callahan, M.D.
• Fhelicia Calligan-Ogbodu
• Brent Cambre, MPT
• Frank C Candela, M.D., F.A.C.S.
• Benjamin Andrew Cantu III, M.D.
• Alfonso Cardenas, M.D.
• Care & Comfort Home Health Inc
• Damaris C. Carranza
• Alfred Renard Carter, LMFT

• Family Medicine Physician in West Hills, CA
• Providers in West Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.