Active NPI
Sharp Imaging Medical Group, Inc
- Clinic/Center
- Van Nuys, CA
National Provider Identifier
1982909446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.