SNL Medical Center a Medical Corporation

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

SNL MEDICAL CENTER A MEDICAL CORPORATION

Practice address

7400 Van Nuys Blvd Ste 111
Van Nuys, CA 91405-1972

Phone

(818) 616-4484

Fax

(818) 616-4494

NPI assigned

Jun 10, 2022

Organization subpart

No

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

Authorized official

Name

Michael K Jefferson, MDNPI 1689649469

Title

Owner /Ceo

Phone

(818) 616-4484

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Jefferson, M.D.

  • Anesthesiology Physician
  • Glendale, CA
  • NPI 1689649469
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1730819079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 VAN NUYS BLVD STE 111",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051972",
            "telephone_number": "818-616-6484",
            "fax_number": "818-616-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 VAN NUYS BLVD STE 111",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051972",
            "telephone_number": "818-616-4484",
            "fax_number": "818-616-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNL MEDICAL CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER /CEO",
        "authorized_official_telephone_number": "818-616-4484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "G68903",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Anthony Smith
• Yevgeny Smolyar
• Sna Assisted Living
• Idan Snapir, D.D.S.
• Jasmine Sneed
• Stephen Joseph Snyder, M.D.
• Vance Murray Snyder, P.A.
• Sober District Inc
• Esther Soberano
• Kristina Sobko

• Geriatric Medicine (Family Medicine) Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.

Verify at the official NPI Registry.