Genesis Health Group

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19993 Issued in CA

Legal business name

GENESIS HEALTH GROUP

Practice address

4405 W Riverside Dr
Suite 205
Burbank, CA 91505-4072

Phone

(818) 754-1124

NPI assigned

Aug 12, 2006

Last updated

Mar 21, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

GENESIS HEALTH GROUPAs reported in NPPES

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

Authorized official

Name

Dr. V K Mishra, D.C.NPI 1538485818

Title

D.C.

Phone

(818) 754-1124

Specialties & licenses 1

Addresses

Practitioners 2

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.

• V K Mishra, D.C.

  • Chiropractor
  • Burbank, CA
  • NPI 1538485818
  NPD (past) Authorized official
• Eldad Tarmu

  • Physical Therapist
  • Burbank, CA
  • NPI 1922425966
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1427060367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2101",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916100101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR",
            "address_2": "SUITE 205",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054072",
            "telephone_number": "818-754-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS HEALTH GROUP",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "D.C.",
        "authorized_official_telephone_number": "818-754-1124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Guido Geirland, PH.D.
• Shirley Cecile Geller, PH.D.
• Generation Care la
• Genesis Comprehensive Medical Group
• Genesis Functional Restoration Clinic Inc
• Genesis Occupational Medical Clinic Inc
• Genex Laboratory Services,Inc
• Gentle Healing/Care, Inc.
• Geoffrey K Lloyd DO a Professional Corporation
• Geoffrey T. Okada, a Professional Dental Corporation

• Physical Therapist in Burbank, CA
• Providers in Burbank, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.