NPIMap

Organization Active NPI

Valley Geriatric Medical Group

  • Geriatric Medicine (Family Medicine) Physician
  • Sherman Oaks, CA
National Provider Identifier
1760544134
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A41240 Issued in CA
Legal business name
VALLEY GERIATRIC MEDICAL GROUP
Practice address
4911 Van Nuys Blvd
Suite 100
Sherman Oaks, CA 91403-1716
Phone
(818) 986-7908
Fax
(818) 986-9308
NPI assigned
Dec 14, 2006
Last updated
Dec 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Authorized official

Name
Dr. Dan Osterweil, M.D.NPI 1588651905
Title
Owner
Phone
(818) 986-7908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X A41240 CA Primary

Addresses

Primary practice location

4911 Van Nuys Blvd
Suite 100
Sherman Oaks, CA 91403-1716

Mailing address

4911 Van Nuys Blvd
Suite 100
Sherman Oaks, CA 91403-1716
Phone (818) 986-7908

Other identifiers 2

IdentifierTypeStateIssuer
1588651905OtherCADR. OSTERWEILS NPI
GR0044060MedicaidCA

National Provider Directory

National Provider Directory

Locations

25100 Calabasas Rd
Calabasas, CA 91302
Phone (818) 222-1000

4911 Van Nuys Blvd
Ste 100
Van Nuys, CA 91403
Phone (818) 341-7243

Practitioners & affiliated clinicians

Practitioners 6

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1760544134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 VAN NUYS BLVD",
            "address_2": "SUITE 100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031716",
            "telephone_number": "818-986-7908",
            "fax_number": "818-990-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 VAN NUYS BLVD",
            "address_2": "SUITE 100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031716",
            "telephone_number": "818-986-7908",
            "fax_number": "818-986-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY GERIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "OSTERWEIL",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-986-7908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A41240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. OSTERWEILS NPI",
            "identifier": "1588651905",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0044060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.