NPIMap

Organization Active NPI

Agoura-West Valley Pediatric Medical Group

  • Pediatrics Physician
  • West Hills, CA
National Provider Identifier
1730108366
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 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
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Kenneth Niles Cosmer, M.D.NPI 1952321564
Title
President
Phone
(818) 340-3822

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)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

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

National Provider Directory

National Provider Directory

Locations

7230 Medical Center Dr
Ste 402
West Hills, CA 91307
Phone (818) 340-3822

7320 Woodlake Ave
Ste 270
West Hills, CA 91307
Phone (818) 340-3822

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1730108366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 WOODLAKE AVE #270",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074015",
            "telephone_number": "818-340-3822",
            "fax_number": "818-340-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 WOODLAKE AVE #270",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074015",
            "telephone_number": "818-340-3822",
            "fax_number": "818-340-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGOURA-WEST VALLEY PEDIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "COSMER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "NILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-340-3822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.