Canoga Park Urgent Care Family Medicine

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A97912 Issued in CA

Legal business name

CANOGA PARK URGENT CARE FAMILY MEDICINE

Practice address

20905 Sherman Way
Canoga Park, CA 91303-1743

Phone

(818) 744-4369

Fax

(310) 444-0606

NPI assigned

May 4, 2012

Organization subpart

No

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

Authorized official

Name

Syrus Feridouni, M.D.NPI 1336271055

Title

President

Phone

(818) 744-4369

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Syrus Feridouni, M.D.

  • Adult Medicine Physician
  • Glendale, CA
  • NPI 1336271055
  Medicare reassignment NPD Authorized official
• Joann Siapno Binns, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Orange, CA
  • NPI 1750833158
  NPD
• Talar Fassih, PA

  • Physician Assistant
  • Canoga Park, CA
  • NPI 1417294265
  NPD (past)
• Daniel Radnia, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Los Angeles, CA
  • NPI 1659394633

  General Practice

  NPD (past)

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1487913810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031743",
            "telephone_number": "818-744-4369",
            "fax_number": "310-444-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031743",
            "telephone_number": "818-744-4369",
            "fax_number": "310-444-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOGA PARK URGENT CARE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "FERIDOUNI",
        "authorized_official_first_name": "SYRUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-744-4369",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A97912",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A92103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Cano
• Jullie Cano
• Sabrina Cano
• Canoga Healthcare LLC
• Canoga Medical Supply, Inc
• Carla Cantoral Orrego
• Canyon Trails at Topanga
• Canyon Vista Post Acute LLC
• Vanessa Capetillo de Blas
• Laura V Capizzi-Nelson, MFT

• General Practice Physician in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.