Active NPI
MVP Pediatric and Urgent Care a Professional Corporation
- Pediatrics Physician
- Tarzana, CA
National Provider Identifier
1457752198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MVP PEDIATRIC AND URGENT CARE A PROFESSIONAL CORPORATION
- Practice address
- 18555 Ventura Blvd Ste B
Tarzana, CA 91356-4101 - Phone
- (310) 849-4400
- NPI assigned
- Sep 12, 2014
- 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
- Dr. David Epstein, MD
- Title
- Ceo
- Phone
- (310) 849-4400
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | |||
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
18555 Ventura Blvd Ste B
Tarzana, CA 91356-4101
Mailing address
18555 Ventura Blvd Ste B
Tarzana, CA 91356-4101
Phone (310) 849-4400
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427760000000",
"number": "1457752198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18555 VENTURA BLVD STE B",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564101",
"telephone_number": "310-849-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18555 VENTURA BLVD STE B",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564101",
"telephone_number": "310-849-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MVP PEDIATRIC AND URGENT CARE A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-12",
"last_updated": "2015-03-31",
"status": "A",
"authorized_official_last_name": "EPSTEIN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-849-4400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.