Organization Active NPI

North Valley Orthopedic Institute Medical Associates Inc

  • Specialist
  • Mission Hills, CA
National Provider Identifier
1629348172
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTH VALLEY ORTHOPEDIC INSTITUTE MEDICAL ASSOCIATES INC
Practice address
11550 Indian Hills Rd
Suite 241
Mission Hills, CA 91345-1200
Phone
(818) 361-0136
Fax
(818) 365-1259
NPI assigned
Dec 30, 2011
Organization subpart
Yes
Parent organization
NORTH VALLEY INSTITUTE MEDICAL ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Dr. Ramin Ganjianpour, MDNPI 1447274782
Title
Owner
Phone
(818) 361-0136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11550 Indian Hills Rd
Suite 241
Mission Hills, CA 91345-1200

Mailing address

11550 Indian Hills Road
Suite 241
Mission Hills, CA 91345
Phone (818) 361-0136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120905000745 CA Part B Supplier - Clinic/Group Practice 4486801917 Receives reassigned benefits from 1 practitioner
Practice locations: Mission Hills, CA; Encino, CA

National Provider Directory

National Provider Directory
Part of
North Valley Orthopedic Institute Medical Associates Inc

Locations

17779 Ventura Blvd
#101
Encino, CA 91316
Phone (818) 361-0136

17779 Ventura Blvd
Ste 101
Encino, CA 91316
Phone (818) 361-0136

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1629348172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS ROAD",
            "address_2": "SUITE 241",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-361-0136",
            "fax_number": "818-365-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "SUITE 241",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200",
            "telephone_number": "818-361-0136",
            "fax_number": "818-365-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY ORTHOPEDIC INSTITUTE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH VALLEY INSTITUTE MEDICAL ASSOCIATES INC",
        "enumeration_date": "2011-12-30",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "GANJIANPOUR",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-361-0136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.