Organization Active NPI

Valley Center for Reproductive Health Inc

  • Specialist
  • Sherman Oaks, CA
National Provider Identifier
1831470830
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G69869 Issued in CA
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
G69869OtherCALICENSE

Other names 1

  • WEST COAST WOMENS REPRODUCTIVE CENTER Doing business as

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.

Verify at the official NPI Registry.