Organization Active NPI

Ben Taub Medical Institute

  • Clinic/Center
  • Encino, CA
National Provider Identifier
1982946398
Registry record updated Mar 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A47960 Issued in CA
Legal business name
BEN TAUB MEDICAL INSTITUTE
Practice address
16055 Ventura Blvd Ste 1120
Encino, CA 91436-2612
Phone
(818) 270-6491
NPI assigned
Mar 24, 2013
Organization subpart
Yes
Parent organization
MARTIN P GRAUMANN MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2013

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

Authorized official

Name
Dr. Martin Panczel Graumann, MDNPI 1558603944
Title
Managing Deirector - Member
Phone
(818) 270-6491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A47960 CA Primary

Addresses

Primary practice location

16055 Ventura Blvd Ste 1120
Encino, CA 91436-2612

Mailing address

16055 Ventura Blvd Ste 1120
Encino, CA 91436-2612
Phone (818) 270-6491

Other identifiers 1

IdentifierTypeStateIssuer
1558603944MedicaidCA

Other names 1

  • BEN TAUB INSTITUTE Doing business as

National Provider Directory

National Provider Directory

Locations

16055 Ventura Blvd
Ste 1120
Encino, CA 91436
Phone (818) 270-6491

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": "1364083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364083200000",
    "number": "1982946398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 1120",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362612",
            "telephone_number": "818-270-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 1120",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362612",
            "telephone_number": "818-270-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN TAUB MEDICAL INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTIN P GRAUMANN MD",
        "enumeration_date": "2013-03-24",
        "last_updated": "2013-03-24",
        "status": "A",
        "authorized_official_last_name": "GRAUMANN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "PANCZEL",
        "authorized_official_title_or_position": "MANAGING DEIRECTOR - MEMBER",
        "authorized_official_telephone_number": "818-270-6491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A47960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558603944",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEN TAUB INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 24, 2013; 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.