Organization Active NPI

Allan Kurtz Professional Medical Corp

  • Internal Medicine Physician
  • Woodland Hills, CA
National Provider Identifier
1831462860
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A4625 Issued in CA
Legal business name
ALLAN KURTZ PROFESSIONAL MEDICAL CORP
Practice address
6325 Topanga Canyon Blvd
501
Woodland Hills, CA 91367-2052
Phone
(818) 346-1440
Fax
(818) 346-9356
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Allen Lee Kurtz, D.O.
Title
Physician
Phone
(818) 346-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20A4625 CA Primary

Addresses

Primary practice location

6325 Topanga Canyon Blvd
501
Woodland Hills, CA 91367-2052

Mailing address

6325 Topanga Canyon Blvd
501
Woodland Hills, CA 91367-2052
Phone (818) 346-1440

Other identifiers 2

IdentifierTypeStateIssuer
20A4625OtherCAMEDICARE
33080508MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000433 CA Part B Supplier - Clinic/Group Practice 8123288990 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

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": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1831462860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "501",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672052",
            "telephone_number": "818-346-1440",
            "fax_number": "818-346-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "501",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672052",
            "telephone_number": "818-346-1440",
            "fax_number": "818-346-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN KURTZ PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-346-1440",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A4625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "20A4625",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33080508",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.