Valley Pediatric Medical Group,Inc.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

VALLEY PEDIATRIC MEDICAL GROUP,INC.

Practice address

5353 Balboa Blvd
Suite 104
Encino, CA 91316-2804

Phone

(818) 789-7181

Fax

(818) 986-8322

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Karyn Young

Title

Credentialing Manager

Phone

(818) 789-7181

Specialties & licenses 1

Addresses

Other names 1

• VALLEY PEDIATRIC MEDICAL GROUP,INC. Doing business as

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

CLIA laboratory certificates

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 4

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

• Louay Keilani, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1932428513
  NPD (past)
• Marie Therese Medawar, M.D.

  • Pediatric Adolescent Medicine Physician
  • Encino, CA
  • NPI 1376621938
  NPD (past)
• Lynn Susan Osher, M.D.

  • Pediatric Adolescent Medicine Physician
  • Encino, CA
  • NPI 1407934920
  NPD (past)
• Peter Rees Shulman, M.D.

  • Pediatric Adolescent Medicine Physician
  • Encino, CA
  • NPI 1073692927
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790858124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD",
            "address_2": "SUITE 104",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162804",
            "telephone_number": "818-789-7181",
            "fax_number": "818-986-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD",
            "address_2": "SUITE 104",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162804",
            "telephone_number": "818-789-7181",
            "fax_number": "818-986-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PEDIATRIC MEDICAL GROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "818-789-7181",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY PEDIATRIC MEDICAL GROUP,INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valley Eye Institute, Inc.
• Valley Foot and Ankle, Inc.
• Valley Hills Home Health Care, Inc
• Valley Home Health, Inc.
• Valley Interventional Specialty Center, Inc.
• Valley Radiology Inc
• Valley Radiotherapy Associates Medical Group Inc
• Valley Regenerative and Pain Clinic
• Valley Retina Associates Medical Group, P.C.
• Valley Wellness Clinic. P.C.

• Pediatric Adolescent Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.