NPIMap

Organization Active NPI

Bijan Broukhim, MD, Inc

Doing business as Women's Medical Group of Encino

  • Specialist
  • Encino, CA
National Provider Identifier
1578711818
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BIJAN BROUKHIM, MD, INC
Doing business as
Women's Medical Group of Encino
Practice address
16311 Ventura Blvd
Suite 1080
Encino, CA 91436-4352
Phone
(818) 501-6775
Fax
(818) 501-2723
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Bijan Broukhim, M.D.NPI 1376584698
Title
Medical Director
Phone
(818) 501-6775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

16311 Ventura Blvd
Suite 1080
Encino, CA 91436-4352

Mailing address

16311 Ventura Boulevard
Suite 1080
Encino, CA 91436-4352
Phone (818) 501-6775

Other names 1

  • WOMEN'S MEDICAL GROUP OF ENCINO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bijan Broukhim MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1578711818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BOULEVARD",
            "address_2": "SUITE 1080",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364352",
            "telephone_number": "818-501-6775",
            "fax_number": "818-501-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE 1080",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364352",
            "telephone_number": "818-501-6775",
            "fax_number": "818-501-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIJAN BROUKHIM, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "BROUKHIM",
        "authorized_official_first_name": "BIJAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-501-6775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOMEN'S MEDICAL GROUP OF ENCINO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.