Family Health Alliance

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

G61816 Issued in CA

Legal business name

FAMILY HEALTH ALLIANCE

Practice address

16030 Ventura Blvd Ste 200
Encino, CA 91436-2754

Phone

(818) 461-5030

Fax

(818) 461-5095

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Lopez, M.D.

Title

Group President

Phone

(818) 461-5030

Specialties & licenses 1

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619190881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD STE 200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362754",
            "telephone_number": "818-461-5030",
            "fax_number": "818-461-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD STE 200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362754",
            "telephone_number": "818-461-5030",
            "fax_number": "818-461-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "GROUP PRESIDENT",
        "authorized_official_telephone_number": "818-461-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "G61816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonas Kourosh Faghihi, PHYSICAL THERAPIST
• Samira Fahim
• Fair Choice Healthcare
• Faith & Care Hospice, Inc.
• Family and Marriage Counseling Corp
• Family Urgent Care & Industrial Medical Clinic, Inc.
• Famini and Gluckman, M.D.S, a Professional Medical Corporation
• Pouyan Famini, M.D.
• Moussa Faminini, MD
• Hei Man Fan

• Health Maintenance Organization in Encino, CA
• Providers in Encino, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.