Porter Ranch Psychiatric Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PORTER RANCH PSYCHIATRIC MEDICAL CORPORATION

Practice address

18250 Roscoe Blvd Ste 245
Northridge, CA 91325-4248

Phone

(818) 527-1288

Fax

(818) 812-9025

NPI assigned

Nov 15, 2007

Organization subpart

Yes

Parent organization

PORTER RANCH PSYCHIATRIC MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Raj Kamat

Title

Biller

Phone

(818) 527-1288

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Porter Ranch Psychmed

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1962683268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7008",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913277008",
            "telephone_number": "818-527-1288",
            "fax_number": "818-428-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 245",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254248",
            "telephone_number": "818-527-1288",
            "fax_number": "818-812-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER RANCH PSYCHIATRIC MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTER RANCH PSYCHIATRIC MEDICAL CORPORATION",
        "enumeration_date": "2007-11-15",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "KAMAT",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "818-527-1288"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A322501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Ponce
• Maria Irene Ponce, MSW, ACSW
• Christine Popaj, LMFT
• Michelle Porciuncula
• Alexandra-Joyce Porte
• Yazmin M Portillo Arzola
• Mauricio Antonio Portillo Jr.
• Stephen Johnson Pothier, D.D.S.
• Karen Potter
• Jacob Poulose, MD.

• Psychiatry Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.