Active NPI
Indimed Corporation
- Obstetrics & Gynecology Physician
- Van Nuys, CA
National Provider Identifier
1720220981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A23884
- Legal business name
- INDIMED CORPORATION
- Practice address
- 17620 Sherman Way
Suite 102
Van Nuys, CA 91406-3527 - Phone
- (818) 602-1160
- NPI assigned
- Apr 1, 2009
- 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
- James G Tappan
- Title
- Ceo
- Phone
- (818) 602-1160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A23884 | CA | Primary |
Addresses
Primary practice location
17620 Sherman Way
Suite 102
Van Nuys, CA 91406-3527
Mailing address
17620 Sherman Way
Suite 102
Van Nuys, CA 91406-3527
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249430400000",
"number": "1720220981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17620 SHERMAN WAY",
"address_2": "SUITE 102",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17620 SHERMAN WAY",
"address_2": "SUITE 102",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063527",
"telephone_number": "818-602-1160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIMED CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-01",
"last_updated": "2009-08-05",
"status": "A",
"authorized_official_last_name": "TAPPAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-602-1160"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A23884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.