Active NPI
Encino Neurological Medical Group
- Specialist
- Encino, CA
National Provider Identifier
1700884871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G021066
- Legal business name
- ENCINO NEUROLOGICAL MEDICAL GROUP
- Practice address
- 16311 Ventura Blvd
Suite 680
Encino, CA 91436-2124 - Phone
- (818) 990-8561
- Fax
- (818) 990-4432
- NPI assigned
- Jul 12, 2005
- Last updated
- Dec 9, 2008
- 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
- Robert Freundlich, M.D.
- Title
- Administrator
- Phone
- (818) 990-8561
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G021066 | CA | Primary |
Addresses
Primary practice location
16311 Ventura Blvd
Suite 680
Encino, CA 91436-2124
Mailing address
16311 Ventura Blvd
Suite 680
Encino, CA 91436-2124
Phone (818) 990-8561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Specialist
- Encino, CA
- NPI 1881692093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228780800000",
"number": "1700884871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "SUITE 680",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362124",
"telephone_number": "818-990-8561",
"fax_number": "818-990-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "SUITE 680",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362124",
"telephone_number": "818-990-8561",
"fax_number": "818-990-4432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENCINO NEUROLOGICAL MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-12",
"last_updated": "2008-12-09",
"status": "A",
"authorized_official_last_name": "FREUNDLICH",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "818-990-8561",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G021066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
- Encino Medical Group
- Encino Medical Pharmacy Inc (Encino Medical Pharmacy)
- Encino Medical Urgent Care Inc.
- Encino Medical Wellness Center
- Encino Neurodiagnostic Center
- Encino Open MRI Inc
- Encino Optometric Center Corp.
- Encino Orthodontics
- Encino Outpatient Surgery Center, LLC
- Encino Place Pain & Surgery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.