Agoura-West Valley Pediatric Medical Group
Organization Active NPI Pediatrics Physician · West Hills, CA
NPI 1730108366 · NPPES record last updated Apr 27, 2026
Key facts
- NPI
- 1730108366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- AGOURA-WEST VALLEY PEDIATRIC MEDICAL GROUP
- Practice address
- 7230 Woodlake Ave #270
West Hills, CA 91307-4015 - Phone
- (818) 340-3822
- Fax
- (818) 340-8039
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Kenneth Niles Cosmer, M.D.
- Title
- President
- Phone
- (818) 340-3822
Practitioners 10
-
Jason Scott Bromberg, M.D.
-
Kenneth Niles Cosmer, M.D.
-
Bethany Stafford, M.D.
-
Jennifer Leigh Stiekema, DNP, CPNP-BC, MS, RN
-
Kathryn Stiles, M.D.
National Provider Directory
Locations
7230 Medical Center Dr
Ste 402
West Hills, CA 91307
Phone (818) 340-3822
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
7230 Woodlake Ave #270
West Hills, CA 91307-4015
Mailing address
7230 Woodlake Ave #270
West Hills, CA 91307-4015
Phone (818) 340-3822
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All providers in West Hills, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.