NPIMap

Organization Active NPI

Providence Pediatrics Inc

  • Primary Care Clinic/Center
  • Mission Hills, CA
National Provider Identifier
1356632483
Registry record updated Apr 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A046156 Issued in CA
Legal business name
PROVIDENCE PEDIATRICS INC
Practice address
14901 Rinaldi St
Suite 300
Mission Hills, CA 91345-1204
Phone
(818) 365-7783
Fax
(818) 365-2193
NPI assigned
Apr 24, 2011
Last updated
Apr 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2011

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

Authorized official

Name
Dr. Victor G Tamashiro, M.D.NPI 1952400715
Title
Owner
Phone
(818) 365-7783

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
Primary Care Clinic/Center 261QP2300X A046156 CA Primary

Addresses

Primary practice location

14901 Rinaldi St
Suite 300
Mission Hills, CA 91345-1204

Mailing address

14901 Rinaldi St
Suite 300
Mission Hills, CA 91345-1204
Phone (818) 365-7783

Other names 1

  • Victor Tamashiro Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1303603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303603200000",
    "number": "1356632483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "SUITE 300",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-365-7783",
            "fax_number": "818-365-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "SUITE 300",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-365-7783",
            "fax_number": "818-365-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-24",
        "last_updated": "2011-04-24",
        "status": "A",
        "authorized_official_last_name": "TAMASHIRO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-365-7783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A046156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victor Tamashiro",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2011; 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.