Organization Active NPI

Woodland Hills Medical Clinic II Inc.

  • Family Medicine Physician
  • Woodland Hills, CA
National Provider Identifier
1659453140
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WOODLAND HILLS MEDICAL CLINIC II INC.
Practice address
5995 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623
Phone
(818) 340-3636
Fax
(818) 340-9241
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Mr. Hamid Reza Mirshojae, D.O.
Title
Owner
Phone
(818) 274-4609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5995 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623

Mailing address

5995 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623
Phone (818) 340-3636

Other names 1

  • Ann Ryan MD Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061204000679 CA Part B Supplier - Clinic/Group Practice 4688673569 Receives reassigned benefits from 5 practitioners
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory
Tax ID family
Woodland Hills Medical Clinic II Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5995 Topanga Canyon Blvd
#A
Woodland Hills, CA 91367

Practitioners & affiliated clinicians

Practitioners 8

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1659453140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673623",
            "telephone_number": "818-340-3636",
            "fax_number": "818-340-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673623",
            "telephone_number": "818-340-3636",
            "fax_number": "818-340-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND HILLS MEDICAL CLINIC II INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "MIRSHOJAE",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-274-4609",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ann Ryan MD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.