Organization Active NPI

Steven Novom M.D. Inc.

  • Neurology Physician
  • Encino, CA
National Provider Identifier
1982906798
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G22483 Issued in CA
Legal business name
STEVEN NOVOM M.D. INC.
Practice address
17525 Ventura Blvd
Suite 203
Encino, CA 91316-5109
Phone
(818) 986-0200
Fax
(818) 986-4393
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Steven Novom, M.D.
Title
President and Provider
Phone
(818) 517-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X G22483 CA Primary

Addresses

Primary practice location

17525 Ventura Blvd
Suite 203
Encino, CA 91316-5109

Mailing address

17525 Ventura Blvd
Suite 203
Encino, CA 91316-5109
Phone (818) 986-0200

Other identifiers 1

IdentifierTypeStateIssuer
00G224830MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1982906798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD",
            "address_2": "SUITE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165109",
            "telephone_number": "818-986-0200",
            "fax_number": "818-986-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD",
            "address_2": "SUITE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165109",
            "telephone_number": "818-986-0200",
            "fax_number": "818-986-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN NOVOM M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "NOVOM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT AND PROVIDER",
        "authorized_official_telephone_number": "818-517-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G22483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G224830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.