Organization Active NPI

Terry E Podell MD a Professional Corporation

  • Internal Medicine Physician
  • Encino, CA
National Provider Identifier
1366408577
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TERRY E PODELL MD A PROFESSIONAL CORPORATION
Practice address
16133 Ventura Blvd
Suite 400
Encino, CA 91436-2429
Phone
(818) 528-1020
Fax
(818) 528-1021
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Terry E Podell, MD
Title
President
Phone
(818) 528-1020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X

Addresses

Primary practice location

16133 Ventura Blvd
Suite 400
Encino, CA 91436-2429

Mailing address

16133 Ventura Blvd
Suite 400
Encino, CA 91436-2429
Phone (818) 528-1020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1366408577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD",
            "address_2": "SUITE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362429",
            "telephone_number": "818-528-1020",
            "fax_number": "818-528-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD",
            "address_2": "SUITE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362429",
            "telephone_number": "818-528-1020",
            "fax_number": "818-528-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY E PODELL MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "PODELL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-528-1020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.