Active NPI
Stephen Bresnick, M.D., Inc.
- Specialist
- Encino, CA
National Provider Identifier
1447551312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G074248
- Legal business name
- STEPHEN BRESNICK, M.D., INC.
- Practice address
- 16633 Ventura Blvd
Suite 110
Encino, CA 91436-1801 - Phone
- (818) 981-3333
- Fax
- (818) 981-0249
- NPI assigned
- Nov 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pam Rosqui
- Title
- Office Manager
- Phone
- (818) 981-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G074248 | CA | Primary |
Addresses
Primary practice location
16633 Ventura Blvd
Suite 110
Encino, CA 91436-1801
Mailing address
16633 Ventura Blvd
Suite 110
Encino, CA 91436-1801
Phone (818) 981-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Plastic Surgery Physician
- Encino, CA
- NPI 1831292275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588636800000",
"number": "1447551312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16633 VENTURA BLVD",
"address_2": "SUITE 110",
"city": "ENCINO",
"state": "CA",
"postal_code": "914361801",
"telephone_number": "818-981-3333",
"fax_number": "818-981-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16633 VENTURA BLVD",
"address_2": "SUITE 110",
"city": "ENCINO",
"state": "CA",
"postal_code": "914361801",
"telephone_number": "818-981-3333",
"fax_number": "818-981-0249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN BRESNICK, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A",
"authorized_official_last_name": "ROSQUI",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "818-981-3333",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G074248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
- Marcia Carol Steinberg, PSY.D.
- Margaret Steinitz, LCSW
- Stella Zweben Samuel, Licensed Clinical Social Worker, Inc.
- Stellar Wound Solutions
- Stephanie J. Martin Inc (Cal Coast Dermatology)
- Stephen J Friedman, MD PC
- Stephen Yu DDS Inc
- Jason Dax Stephens
- Laurie Ann Stephens, PH.D.
- Carolyn Demerice Stern
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.