Active NPI
San Fernando Valley Urol Assoc Med
- Urology Physician
- Tarzana, CA
National Provider Identifier
1912930710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- SAN FERNANDO VALLEY UROL ASSOC MED
- Practice address
- 18370 Burbank Blvd
Ste 407
Tarzana, CA 91356-2804 - Phone
- (818) 996-4242
- Fax
- (818) 996-4352
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Shapiro, MD
- Title
- President
- Phone
- (818) 996-4242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
18370 Burbank Blvd
Ste 407
Tarzana, CA 91356-2804
Mailing address
18370 Burbank Blvd
Ste 407
Tarzana, CA 91356-2804
Phone (818) 996-4242
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ16738Z | Other | CA | BLUE SHIELD |
| ZZZ49135Z | Medicaid | CA | |
| CP5338 | Other | CA | RAILROAD MEDICARE |
Other names 1
- San Fernando Valley Urological Associates Medical Group Inc
National Provider Directory
National Provider DirectoryInteroperability endpoints
- bayleealexander@sfvua.medalliesdirect.net
- jennifermehdizadeh@sfvua.medalliesdirect.net
- eugenedula@sfvua.medalliesdirect.net
- richardleff@sfvua.medalliesdirect.net
- richardshapiro@sfvua.medalliesdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388707200000",
"number": "1912930710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18370 BURBANK BLVD",
"address_2": "STE 407",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562804",
"telephone_number": "818-996-4242",
"fax_number": "818-996-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18370 BURBANK BLVD",
"address_2": "STE 407",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562804",
"telephone_number": "818-996-4242",
"fax_number": "818-996-4352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN FERNANDO VALLEY UROL ASSOC MED",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2014-01-03",
"status": "A",
"authorized_official_last_name": "SHAPIRO",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-996-4242",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ16738Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ49135Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CP5338",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "San Fernando Valley Urological Associates Medical Group Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tarzana, CA
- Samuel Spigelman MD a Professional Corporation
- Natalie Samuels, M.A.
- San Fernando Valley Gastroenterology Medical Group Inc
- San Fernando Valley Neurologic Medical Group Inc
- San Fernando Valley Pulmonary Medical Group, Inc.
- San Fernando Valley Vascular Group a Medical Corporation
- Luz Mireya Sanchez Mendez
- Amy Diane Sanchez
- Arakzy Sanchez, BEHAVIORAL THERAPIST
- Cristal Sanchez, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.