Pediatric Care Physicians a Professional Medical Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G068087 Issued in CA

Legal business name

PEDIATRIC CARE PHYSICIANS A PROFESSIONAL MEDICAL CORPORATION

Practice address

5353 Balboa Blvd
#200
Encino, CA 91316-2804

Phone

(818) 461-9690

Fax

(818) 461-9482

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joel G. Auerbach, M.D.NPI 1083794143

Title

Corpration President

Phone

(818) 461-9690

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel G. Auerbach, M.D.

  • Pediatrics Physician
  • Encino, CA
  • NPI 1083794143
  NPD (past) Authorized official
• Rachel L. Esmond, M.D.

  • Pediatrics Physician
  • Encino, CA
  • NPI 1225118250
  NPD (past)
• Karine Ekmekji Mouradian, MD

  • Pediatrics Physician
  • Tarzana, CA
  • NPI 1245354661
  NPD (past)
• Sharon S. Pollock, M.D.

  • Pediatrics Physician
  • Encino, CA
  • NPI 1396825485
  NPD (past)
• Deborah A. Rubin, M.D.

  • Pediatrics Physician
  • Encino, CA
  • NPI 1992885909
  NPD (past)
• Nan T. Zaitlen, M.D.

  • Pediatrics Physician
  • Encino, CA
  • NPI 1396874038
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912087057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD",
            "address_2": "#200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162804",
            "telephone_number": "818-461-9690",
            "fax_number": "818-461-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD",
            "address_2": "#200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162804",
            "telephone_number": "818-461-9690",
            "fax_number": "818-461-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE PHYSICIANS A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CORPRATION PRESIDENT",
        "authorized_official_telephone_number": "818-461-9690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G068087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Anita Pederson, PH.D.
• Pedes Vascular San Fernando Valley
• Pediatric Acute Care Medical Associates, Inc.
• Pediatric and Family Medical Center (Eisner Health Optometry at Encino)
• Pediatric Cardiology Medical Assoc. of So. California
• Pediatric Gastroenterology Medical Center, Inc.
• Panthea Pedoeim, NP
• Michael Pedram, DDS, MD
• Ifat Peled, PHD
• Michelle Pellegrino, BCBA

• Pediatrics Physician in Encino, CA
• Providers in Encino, CA by specialty
• Pediatrics 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.