Vincent Pogo Health of NV PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

VINCENT POGO HEALTH OF NV PC

Practice address

26342 Fairside Rd
Malibu, CA 90265-2927

Phone

(805) 975-5006

NPI assigned

Mar 13, 2023

Organization subpart

No

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

Authorized official

Name

Natalie Maloney

Title

Coo

Phone

(805) 975-0006

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1407557960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 MULHOLLAND HWY",
            "address_2": "#526",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "90290",
            "telephone_number": "805-975-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26342 FAIRSIDE RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652927",
            "telephone_number": "805-975-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT POGO HEALTH OF NV PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "805-975-0006"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Masteranna Billing Service, Inc
• Alex Jason Vander Vorste, MS, ATC
• Arlene Velo, LCSW
• Christina W Vescovo, MFT ASSOCIATE
• Victor S Dorodny MD Inc
• Visions Treatment Centers, LLC
• Dimitri Vitebsky, LCSW
• Francine Vogler, M.D.
• Blaire Ann Christina Ward-Denson, MSC, DOCTORAL TRAINE
• Shannon Gerald Watson, D.C.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Malibu, CA
• Providers in Malibu, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.