Encino-Tarzana Urgent Care Center, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A78184 Issued in CA

Legal business name

ENCINO-TARZANA URGENT CARE CENTER, INC.

Practice address

16952 Ventura Blvd
Encino, CA 91316-4197

Phone

(818) 789-3964

Fax

(818) 789-3967

NPI assigned

Mar 7, 2008

Last updated

Mar 7, 2008By 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

Keyvan Shirazi, MDNPI 1023033107

Title

President

Phone

(818) 789-3964

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keyvan Shirazi, M.D.

  • Internal Medicine Physician
  • Encino, CA
  • NPI 1023033107
  Authorized official Same address or phone

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1679743462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16952 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164197",
            "telephone_number": "818-789-3964",
            "fax_number": "818-789-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16952 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164197",
            "telephone_number": "818-789-3964",
            "fax_number": "818-789-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO-TARZANA URGENT CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-789-3964",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A78184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Encino Surgical Institute,a.M.C
• Encino Surgicenter a Medical Group
• Encino Terrace, LLC (NA)
• Encino Total Dentistry
• Encino Valley Hospice, Inc.
• Harry E Enenstein, O. D.
• Enera5 (VioGene Chalcedony Aesthetics)
• Energy Physical Therapy Inc
• Lewis Anthony Engel, M.D.
• Robert E Engstrom Jr., M.D.

• Internal Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.