Organization Active NPI

SM Med Corp, Apc

  • Neurological Surgery Physician
  • Sherman Oaks, CA
National Provider Identifier
1982917654
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A75531 Issued in CA
Legal business name
SM MED CORP, APC
Practice address
5000 Van Nuys Blvd
Suite 210
Sherman Oaks, CA 91403-1793
Phone
(818) 465-6614
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Rochelle Greeb
Title
Billing Manager
Phone
(818) 465-6614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X A75531 CA Primary

Addresses

Primary practice location

5000 Van Nuys Blvd
Suite 210
Sherman Oaks, CA 91403-1793

Mailing address

PO Box 260920
Encino, CA 91426-0920
Phone (818) 465-6614

National Provider Directory

National Provider Directory
Tax ID family
SM Med Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1982917654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260920",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914260920",
            "telephone_number": "818-465-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD",
            "address_2": "SUITE 210",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031793",
            "telephone_number": "818-465-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM MED CORP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "GREEB",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "818-465-6614"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A75531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.