Canyon Medical Center Corporation

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

CANYON MEDICAL CENTER CORPORATION

Practice address

4937 Las Virgenes Rd Ste 104
Calabasas, CA 91302-2949

Phone

(818) 880-0799

NPI assigned

May 20, 2010

Organization subpart

Yes

Parent organization

CANYON MEDICAL CENTER CORPORATIONAs reported in NPPES

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

Authorized official

Name

David Vesco, M.D.NPI 1629084074

Title

Owner

Phone

(818) 880-0799

Specialties & licenses 1

Addresses

Part of

Canyon Medical Center Corporation

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Canyon Medical Center Corporation

  • Adult Medicine Physician
  • Calabasas, CA
  • NPI 1164679718
  NPPES parent name

Practitioners 1

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

• David Michael Vesco, M.D

  • Adult Medicine Physician
  • Calabasas, CA
  • NPI 1629084074
  NPD (past) Authorized official

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1972822666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771735",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4937 LAS VIRGENES RD STE 104",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022949",
            "telephone_number": "818-880-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON MEDICAL CENTER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANYON MEDICAL CENTER CORPORATION",
        "enumeration_date": "2010-05-20",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "VESCO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-880-0799",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calaid Home Healthcare, LLC
• California PPO LLC
• Barbara Linda Calvi, M.S.
• Marilynn Jasmine Camacho
• Canyon Medical Center Corporation
• Kloie Noelle Cardenas
• Care Level Management Direct Medical Group Texas, PA
• Carmenta Surgical Center
• Alejandra Carrillo
• Allison Carter, PSY.D.

• Non-Pharmacy Dispensing Site in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.