Organization Active NPI

San Fernando Valley Urol Assoc Med

  • Urology Physician
  • Tarzana, CA
National Provider Identifier
1912930710
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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

Updated by the provider on Jan 3, 2014

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
ZZZ16738ZOtherCABLUE SHIELD
ZZZ49135ZMedicaidCA
CP5338OtherCARAILROAD MEDICARE

Other names 1

  • San Fernando Valley Urological Associates Medical Group Inc Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: bayleealexander@sfvua.medalliesdirect.net
  • Direct secure messaging: jennifermehdizadeh@sfvua.medalliesdirect.net
  • Direct secure messaging: eugenedula@sfvua.medalliesdirect.net
  • Direct secure messaging: richardleff@sfvua.medalliesdirect.net
  • Direct secure messaging: 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

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.

Verify at the official NPI Registry.