Organization Active NPI

Valley Community Multicare Health Services

  • Family Medicine Physician
  • Tarzana, CA
National Provider Identifier
1710114236
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VALLEY COMMUNITY MULTICARE HEALTH SERVICES
Practice address
18607 Ventura Blvd.
Suite 204
Tarzana, CA 91356-4172
Phone
(805) 582-0355
Fax
(805) 582-2285
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Mrs. Anna Manoukian
Title
Ceo
Phone
(323) 258-2256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

18607 Ventura Blvd.
Suite 204
Tarzana, CA 91356-4172

Mailing address

18607 Ventura Blvd.
Suite 204
Tarzana, CA 91356-4172
Phone (805) 582-0355

National Provider Directory

National Provider Directory

Locations

2603 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 871-5892

190 Tierra Rejada Rd
Simi Valley, CA 93065
Phone (805) 584-8881

3907 Cochran St
Ste C1
Simi Valley, CA 93063
Phone (805) 582-0355

18607 Ventura Blvd
Ste 204
Tarzana, CA 91356
Phone (805) 582-0355

Practitioners & affiliated clinicians

Practitioners 2

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": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1710114236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD.",
            "address_2": "SUITE 204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564172",
            "telephone_number": "805-582-0355",
            "fax_number": "805-582-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD.",
            "address_2": "SUITE 204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564172",
            "telephone_number": "805-582-0355",
            "fax_number": "805-582-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY COMMUNITY MULTICARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "MANOUKIAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-258-2256",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.