Active NPI
Richard Tanzer, MD
- Family Medicine Physician
- Sherman Oaks, CA
National Provider Identifier
1407896434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G59405
- Practice address
- Family Urgent Care & Indutrial Medical Clinic
15450 Ventura Blvd. Ste. 102
Sherman Oaks, CA 91403 - Phone
- (818) 808-2828
- Fax
- (818) 788-0386
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G59405 | CA | Primary |
Addresses
Primary practice location
Family Urgent Care & Indutrial Medical Clinic
15450 Ventura Blvd. Ste. 102
Sherman Oaks, CA 91403
Mailing address
7985 Santa Monica Blvd.
#109-13
Los Angeles, CA 90046
Phone (323) 650-3969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Medical Associates, a Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Monarch Healthcare, a Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- richard.tanzer.p1@direct.lakeside.nextgenshare.com
- richard.tanzer.p7@direct.monarchhealthcare.nextgenshare.com
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Glendale, CA
- NPI 1932129434
Family Medicine
-
- Specialist
- Irvine, CA
- NPI 1053482745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407896434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7985 SANTA MONICA BLVD.",
"address_2": "#109-13",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90046",
"telephone_number": "323-650-3969",
"fax_number": "818-788-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAMILY URGENT CARE & INDUTRIAL MEDICAL CLINIC",
"address_2": "15450 VENTURA BLVD. STE. 102",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91403",
"telephone_number": "818-808-2828",
"fax_number": "818-788-0386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANZER",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G59405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.