Boris Vaisman, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A92266 Issued in CA

Practice address

22600 Ventura Blvd
Suite 101
Woodland Hills, CA 91364

Phone

(818) 225-1255

Fax

(818) 225-8646

NPI assigned

Jun 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• All Star Phoenix Inc Home health agency, Agoura Hills, CA, CCN 559274
• Aca Home Health Care Inc Home health agency, Thousand Oaks, CA, CCN 059341
• Planet Home Health Care, Inc Home health agency, Glendale, CA, CCN 059231
• UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481
• Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boris Vaisman Medical Coporation

  • Family Medicine Physician
  • Woodland Hills, CA
  • NPI 1598911497
  Medicare reassignment NPD Authorized official
• Regents Univ of Calif Los Angeles

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1801653969
  NPD (past)
• Tarzana Medical Center LLC

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  NPD (past)
• West Hills Hospital

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aca Home Health Care, Inc.

  • Home Health Agency
  • Thousand Oaks, CA
  • NPI 1467684993
  Care Compare affiliation
• All Star Phoenix Inc.

  • Home Health Agency
  • Granada Hills, CA
  • NPI 1083260897
  Care Compare affiliation
• Planet Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1821298449
  Care Compare affiliation
• Regents Univ of Calif Los Angeles

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1801653969
  Care Compare affiliation
• Tarzana Medical Center LLC

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  Care Compare affiliation

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1508801994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22600 VENTURA BLVD",
            "address_2": "SUITE 101",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-225-1255",
            "fax_number": "818-225-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22600 VENTURA BLVD",
            "address_2": "SUITE 101",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-225-1255",
            "fax_number": "818-225-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAISMAN",
        "first_name": "BORIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A92266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usharani Usharani, RD
• Kelsey Usselmann, FNP-BC
• Lynn Marie Utley, MD
• Kathryn Ann Vaclavik
• Vagr Dental Corp Apc
• Sofia Vaisman, M.D.
• Fernando Jose Valdez Valenzuela, BEHAVIOR THERAPIST
• Sayuri Valdez
• Selina Mariah Valdez
• Nayeli Valdivia

• Specialist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.