Active NPI
Mid-Valley Hospitalist Medical Group,Inc
- Internal Medicine Physician
- Sherman Oaks, CA
National Provider Identifier
1679622799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2862688
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0105000 | Medicaid | CA | |
| RNP35433 | Other | STATE OF CAL CONS AFFARIS | |
| 2862688 | Other | CA LIC # |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pulmonary Disease Physician
- Sherman Oaks, CA
- NPI 1235152455
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.