Pedes Vascular San Fernando Valley

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

C52896 Issued in CA

Legal business name

PEDES VASCULAR SAN FERNANDO VALLEY

Practice address

16260 Ventura Boulevard
Suite 210
Encino, CA 91436-2203

Phone

(949) 394-5018

NPI assigned

Feb 9, 2015

Last updated

Feb 9, 2015By 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

John Joseph Hewett, M.D

Title

Owner

Phone

(424) 500-2557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1669863981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BOULEVARD",
            "address_2": "SUITE 210",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "949-394-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BOULEVARD",
            "address_2": "SUITE 210",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "949-394-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDES VASCULAR SAN FERNANDO VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "HEWETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-500-2557",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "C52896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khodam-Rad Payman, M.D.
• Diana Lisa Payne, PH.D.
• Jeanne Paz, OTR
• Shivon D Pazos
• Jean Anita Pederson, PH.D.
• Pediatric Acute Care Medical Associates, Inc.
• Pediatric and Family Medical Center (Eisner Health Optometry at Encino)
• Pediatric Cardiology Medical Assoc. of So. California
• Pediatric Care Physicians a Professional Medical Corporation
• Pediatric Gastroenterology Medical Center, Inc.

• Vascular & Interventional Radiology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.