Organization Active NPI

C/V ENT Surgical Group

  • Otolaryngology/Facial Plastic Surgery Physician
  • West Hills, CA
National Provider Identifier
1942486816
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
36408 Issued in CA
Legal business name
C/V ENT SURGICAL GROUP
Practice address
7345 Medical Center Drive
Suite 510
West Hills, CA 91307-1929
Phone
(818) 888-7878
Fax
(818) 888-5200
NPI assigned
Jan 10, 2008
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Michele L McLaughlin, MD
Title
Owner
Phone
(818) 888-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X 36408 CA Primary

Addresses

Primary practice location

7345 Medical Center Drive
Suite 510
West Hills, CA 91307-1929

Mailing address

7345 Medical Center Drive
Suite 510
West Hills, CA 91307-1929
Phone (818) 888-7878

Other identifiers 1

IdentifierTypeStateIssuer
W21965OtherCAMC PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080328000282 CA Part B Supplier - Clinic/Group Practice 9032295241 Receives reassigned benefits from 4 practitioners
Practice locations: Encino, CA; West Hills, CA

National Provider Directory

National Provider Directory

Locations

16500 Ventura Blvd
Ste 320
Encino, CA 91436
Phone (818) 982-1200

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 & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1942486816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 510",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071929",
            "telephone_number": "818-888-7878",
            "fax_number": "818-888-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 510",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071929",
            "telephone_number": "818-888-7878",
            "fax_number": "818-888-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C/V ENT SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-888-7878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "36408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC PTAN",
            "identifier": "W21965",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.