Organization Active NPI

Sherry F Yudell M D Inc

  • Physical Medicine & Rehabilitation Physician
  • Encino, CA
National Provider Identifier
1447283411
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G70002 Issued in CA
Legal business name
SHERRY F YUDELL M D INC
Practice address
17609 Ventura Blvd
Suite 114
Encino, CA 91316-5119
Phone
(818) 991-0209
Fax
(888) 340-0712
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Dr. Sherry F Yudell, M.D.
Title
Owner
Phone
(818) 991-0209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X G70002 CA Primary

Addresses

Primary practice location

17609 Ventura Blvd
Suite 114
Encino, CA 91316-5119

Mailing address

PO Box 55152
Valencia, CA 91385-0152
Phone (661) 298-7423

Other identifiers 1

IdentifierTypeStateIssuer
00G700020MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1447283411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55152",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913850152",
            "telephone_number": "661-298-7423",
            "fax_number": "661-298-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD",
            "address_2": "SUITE 114",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165119",
            "telephone_number": "818-991-0209",
            "fax_number": "888-340-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY F YUDELL M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "YUDELL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-991-0209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G70002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G700020",
            "state": "CA"
        }
    ],
    "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 Aug 26, 2014; 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.