Troy V. Fennell M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A100492 Issued in CA

Legal business name

TROY V. FENNELL M.D.

Practice address

13521 Sherman Way
Suite D
Van Nuys, CA 91405-2894

Phone

(818) 786-5360

Fax

(818) 786-5670

NPI assigned

Mar 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Troy V Fennell, M.D.NPI 1225212566

Title

Owner

Phone

(818) 786-5360

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Troy Fennell, M.D.

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1225212566
  NPD (past) Authorized official

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1871816066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 SHERMAN WAY",
            "address_2": "SUITE D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052894",
            "telephone_number": "818-786-5360",
            "fax_number": "818-786-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13521 SHERMAN WAY",
            "address_2": "SUITE D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052894",
            "telephone_number": "818-786-5360",
            "fax_number": "818-786-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY V. FENNELL M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-786-5360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.