Organization Active NPI

William Y Josephson, MD, Inc

  • Internal Medicine Physician
  • Northridge, CA
National Provider Identifier
1760814917
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A44225 Issued in CA
Legal business name
WILLIAM Y JOSEPHSON, MD, INC
Practice address
17075 Devonshire St Ste 100a
Northridge, CA 91325-5405
Phone
(818) 831-7767
NPI assigned
Jul 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
William Y Josephson, MDNPI 1376647651
Title
Owner
Phone
(818) 837-7767

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A44225 CA Primary

Addresses

Primary practice location

17075 Devonshire St Ste 100a
Northridge, CA 91325-5405

Mailing address

17075 Devonshire St Ste 100a
Northridge, CA 91325-5405
Phone (818) 831-7767

Other identifiers 1

IdentifierTypeStateIssuer
A44225OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131212000634 CA Part B Supplier - Clinic/Group Practice 8123255445 Receives reassigned benefits from 1 practitioner
Practice locations: Northridge, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2066961William Y Josephson MD Inc17075 Devonshire St Ste 100a, Northridge, CA 91325Certificate of waiverOct 6, 2027

National Provider Directory

National Provider Directory

Locations

15210 Parthenia St
North Hills, CA 91343
Phone (801) 895-3100

17075 Devonshire St
Ste 100A
Northridge, CA 91325
Phone (818) 360-4600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1760814917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST STE 100A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255405",
            "telephone_number": "818-831-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST STE 100A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255405",
            "telephone_number": "818-831-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM Y JOSEPHSON, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "JOSEPHSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-837-7767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A44225",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.