Organization Active NPI

Mid-Valley Hospitalist Medical Group,Inc

  • Internal Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1679622799
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2862688 Issued in CA
Legal business name
MID-VALLEY HOSPITALIST MEDICAL GROUP,INC
Practice address
4955 Van Nuys Blvd
Ste 502
Sherman Oaks, CA 91403-1829
Phone
(818) 325-0200
Fax
(818) 325-0210
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Muhammad Anwar, MD
Title
President
Phone
(818) 325-0200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 2862688 CA Primary

Addresses

Primary practice location

4955 Van Nuys Blvd
Ste 502
Sherman Oaks, CA 91403-1829

Mailing address

4955 Van Nuys Blvd
Ste 502
Sherman Oaks, CA 91403-1829
Phone (818) 325-0200

Other identifiers 3

IdentifierTypeStateIssuer
GR0105000MedicaidCA
RNP35433OtherSTATE OF CAL CONS AFFARIS
2862688OtherCA LIC #

National Provider Directory

National Provider Directory

Locations

13400 Sherman Way
North Hollywood, CA 91605
Phone (818) 983-0103

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1679622799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "STE 502",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031829",
            "telephone_number": "818-325-0200",
            "fax_number": "818-325-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "STE 502",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031829",
            "telephone_number": "818-325-0200",
            "fax_number": "818-325-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY HOSPITALIST MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-325-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "2862688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0105000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CAL CONS AFFARIS",
            "identifier": "RNP35433",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LIC #",
            "identifier": "2862688",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.