Boris Vaisman Medical Coporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A92266 Issued in CA

Legal business name

BORIS VAISMAN MEDICAL COPORATION

Practice address

22600 Ventura Blvd Ste 101
Woodland Hills, CA 91364-1430

Phone

(818) 225-1255

Fax

(818) 225-8646

NPI assigned

Aug 11, 2008

Last updated

Aug 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Boris Vaisman, M.D.NPI 1508801994

Title

Ceo

Phone

(818) 225-1255

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Boris Vaisman, MD

  • Specialist
  • Woodland Hills, CA
  • NPI 1508801994
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1598911497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 CHIMINEAS AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564302",
            "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 STE 101",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641430",
            "telephone_number": "818-225-1255",
            "fax_number": "818-225-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS VAISMAN MEDICAL COPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "VAISMAN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-225-1255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A92266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2901737",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kashua Bonilla
• Neha Sharma Bonilla
• Rebecca Rose Bonneville, NURSE PRACTITIONER
• Kacy Michelle Boray
• Joyce Ann Borges Maisonet
• Alicia Borrero Cruz
• Joseph Salvatore Bosco
• April Ranita Bosley-Pittman
• Keli Jordan Boston
• Sharie Renell Boudreaux

• Family Medicine Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.