Individual provider Active NPI

Marvin V.H. Kanter, M.D.

  • Non-Pharmacy Dispensing Site
  • Woodland Hills, CA
National Provider Identifier
1578862892
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Practice address
5985 Topanga Canyon Blvd
Woodland Hills, CA 91367
Phone
(818) 579-2326
NPI assigned
Mar 25, 2011
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G9009 CA
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

5985 Topanga Canyon Blvd
Woodland Hills, CA 91367

Mailing address

5985 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623
Phone (818) 579-2326

Other practice location 1

2211 W Magnolia Blvd Ste 140
Burbank, CA 91506-1763
Phone (818) 748-0100

Other practice location 2

2211 W Magnolia Blvd Ste 140
Burbank, CA 91506-1763
Phone (818) 748-0100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260415001374 CA Practitioner - Pediatric Medicine 6709027311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Chicago, Pritzker School of Medicine, 1962
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5985 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G9009CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Vitae, Inc. Current Accepting new patients

Locations

5985 Topanga Canyon Blvd
Woodland Hills, CA 91367
Phone (818) 422-3442

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1578862892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673623",
            "telephone_number": "818-579-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "818-579-2326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 W Magnolia Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915061763",
            "country_code": "US",
            "telephone_number": "818-748-0100",
            "fax_number": "818-524-2064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 W Magnolia Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915061763",
            "country_code": "US",
            "telephone_number": "818-748-0100",
            "fax_number": "818-524-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANTER",
        "first_name": "MARVIN",
        "middle_name": "V.H.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-25",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G9009",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.