Active NPI
Steven Novom M.D. Inc.
- Neurology Physician
- Encino, CA
National Provider Identifier
1982906798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G22483
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G224830 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Sherman Oaks, CA
- NPI 1588607527
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.