Organization Active NPI

Woodland Hills Medical Clinic Inc.

  • Special Hospital
  • Woodland Hills, CA
National Provider Identifier
1962563734
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
20A6577 Issued in CA
Legal business name
WOODLAND HILLS MEDICAL CLINIC INC.
Practice address
19825 Ventura Blvd
Woodland Hills, CA 91364-2627
Phone
(818) 340-3636
NPI assigned
Dec 13, 2006
Organization subpart
Yes
Parent organization
WOODLAND HILLS MEDICAL CLINIC II INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Dr. Hamid Mirshojae, DO
Title
Director
Phone
(818) 340-3636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X
Special Hospital 284300000X 20A6577 CA Primary

Addresses

Primary practice location

19825 Ventura Blvd
Woodland Hills, CA 91364-2627

Mailing address

5995 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623
Phone (818) 888-7009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050415000396 CA Part B Supplier - Clinic/Group Practice 7012954589 Receives reassigned benefits from 4 practitioners
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory
Part of
Woodland Hills Medical Clinic II Inc

Locations

506 W Graham Ave
Ste 107
Lake Elsinore, CA 92530
Phone (909) 471-5116

4942 Vineland Ave
Ste D
North Hollywood, CA 91601
Phone (818) 667-2688

5995 Topanga Canyon Blvd
Ste A
Woodland Hills, CA 91367

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1962563734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673623",
            "telephone_number": "818-888-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19825 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642627",
            "telephone_number": "818-340-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND HILLS MEDICAL CLINIC INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOODLAND HILLS MEDICAL CLINIC II INC.",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "MIRSHOJAE",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-340-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "20A6577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.