Organization Active NPI

Sherman Bell Medical Group Inc

  • General Practice Physician
  • North Hollywood, CA
National Provider Identifier
1669705919
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C36270 Issued in CA
Legal business name
SHERMAN BELL MEDICAL GROUP INC
Practice address
12720 Sherman Way
North Hollywood, CA 91605-5031
Phone
(818) 982-6000
Fax
(818) 982-6006
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Dr. Jerome E McCuin, MD
Title
Owner/Ceo
Phone
(818) 982-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X C36270 CA Primary

Addresses

Primary practice location

12720 Sherman Way
North Hollywood, CA 91605-5031

Mailing address

12720 Sherman Way
North Hollywood, CA 91605-5031
Phone (818) 982-6000

National Provider Directory

National Provider Directory

Locations

12720 Sherman Way
North Hollywood, CA 91605
Phone (818) 982-6000

Practitioners & affiliated clinicians

Practitioners 1

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": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1669705919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 SHERMAN WAY",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055031",
            "telephone_number": "818-982-6000",
            "fax_number": "818-982-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 SHERMAN WAY",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055031",
            "telephone_number": "818-982-6000",
            "fax_number": "818-982-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN BELL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "MCCUIN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "818-982-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C36270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.