Active NPI
Valley Center for Reproductive Health Inc
- Specialist
- Sherman Oaks, CA
National Provider Identifier
1831470830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G69869
- Legal business name
- VALLEY CENTER FOR REPRODUCTIVE HEALTH INC
- Practice address
- 4835 Van Nuys Blvd Ste 200B
Sherman Oaks, CA 91403-2109 - Phone
- (818) 986-1648
- Fax
- (818) 986-1653
- NPI assigned
- Sep 2, 2011
- Organization subpart
- Yes
- Parent organization
- VALLEY CENTER FOR REPRODUCTIVE HEALTH INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tina Koopersmith, M.D.
- Title
- Ceo
- Phone
- (818) 986-1648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G69869 | CA | Primary |
Addresses
Primary practice location
4835 Van Nuys Blvd Ste 200B
Sherman Oaks, CA 91403-2109
Mailing address
4835 Van Nuys Blvd Ste 200B
Sherman Oaks, CA 91403-2109
Phone (818) 986-1648
Other practice location 1
13320 Riverside Dr
Suite 220
Sherman Oaks, CA 91423-2502
Phone (818) 986-1648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G69869 | Other | CA | LICENSE |
Other names 1
- WEST COAST WOMENS REPRODUCTIVE CENTER
National Provider Directory
National Provider Directory- Part of
- Valley Center for Reproductive Health Inc
Locations
4835 Van Nuys Blvd
Ste 200B
Sherman Oaks, CA 91403
Phone (818) 986-1648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585008000000",
"number": "1831470830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 VAN NUYS BLVD STE 200B",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032109",
"telephone_number": "818-986-1648",
"fax_number": "818-986-1653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4835 VAN NUYS BLVD STE 200B",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032109",
"telephone_number": "818-986-1648",
"fax_number": "818-986-1653"
}
],
"practiceLocations": [
{
"address_1": "13320 Riverside Dr",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914232502",
"country_code": "US",
"telephone_number": "818-986-1648",
"fax_number": "818-986-1653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VALLEY CENTER FOR REPRODUCTIVE HEALTH INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VALLEY CENTER FOR REPRODUCTIVE HEALTH INC",
"enumeration_date": "2011-09-02",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A",
"authorized_official_last_name": "KOOPERSMITH",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-986-1648",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G69869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G69869",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WEST COAST WOMENS REPRODUCTIVE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.