Comprehensive Maternal-Fetal Medicine Center, a Professional Med Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

A84716 Issued in CA

Legal business name

COMPREHENSIVE MATERNAL-FETAL MEDICINE CENTER, A PROFESSIONAL MED CORP

Practice address

18399 Ventura Blvd
249
Tarzana, CA 91356-4233

Phone

(818) 345-2455

Fax

(818) 344-3101

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Roy Zion Mansano, M.D.NPI 1497965008

Title

President

Phone

(818) 345-2455

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roy Mansano

  • Gynecology Physician
  • Torrance, CA
  • NPI 1497965008
  NPD (past) Authorized official
• Esther Schmuel, M.D.

  • Maternal & Fetal Medicine Physician
  • Torrance, CA
  • NPI 1821007535
  NPD (past)

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1467829291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5343 OSTROM AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162631",
            "telephone_number": "818-345-2455",
            "fax_number": "818-344-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18399 VENTURA BLVD",
            "address_2": "249",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564233",
            "telephone_number": "818-345-2455",
            "fax_number": "818-344-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MATERNAL-FETAL MEDICINE CENTER, A PROFESSIONAL MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "MANSANO",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ZION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-345-2455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A84716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kobina Commeh, DPM
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• Madeline Conroy
• M Angela Constantino, DPT
• Anthony Pete Contreras, BA, RBT-20-142936

• Specialist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.