Organization Active NPI

Sharp Imaging Medical Group, Inc

  • Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1982909446
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SHARP IMAGING MEDICAL GROUP, INC
Practice address
14600 Sherman Way
Suite 100a
Van Nuys, CA 91405-2283
Phone
(818) 815-3910
Fax
(818) 933-7550
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Steven Nolan Brourman, M.D.
Title
President
Phone
(310) 657-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

14600 Sherman Way
Suite 100a
Van Nuys, CA 91405-2283

Mailing address

PO Box 51081
Los Angeles, CA 90051-5381
Phone (818) 815-3910

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1982909446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51081",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900515381",
            "telephone_number": "818-815-3910",
            "fax_number": "818-933-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY",
            "address_2": "SUITE 100A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052283",
            "telephone_number": "818-815-3910",
            "fax_number": "818-933-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP IMAGING MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "BROURMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "NOLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-657-2202",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.