Organization Active NPI

Community Affiliated Physicians Incorporated

  • Internal Medicine Physician
  • Toluca Lake, CA
National Provider Identifier
1992422794
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMMUNITY AFFILIATED PHYSICIANS INCORPORATED
Practice address
4418 Vineland Ave Ste 112
Toluca Lake, CA 91602-2159
Phone
(818) 842-7145
NPI assigned
Oct 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Jenny Braganza
Title
Medical Biller and Credentialer
Phone
(714) 855-9304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4418 Vineland Ave Ste 112
Toluca Lake, CA 91602-2159

Mailing address

4418 Vineland Ave Ste 112
Toluca Lake, CA 91602-2159
Phone (818) 842-7145

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1992422794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE STE 112",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022159",
            "telephone_number": "818-842-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE STE 112",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022159",
            "telephone_number": "818-842-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AFFILIATED PHYSICIANS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "BRAGANZA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "MEDICAL BILLER AND CREDENTIALER",
        "authorized_official_telephone_number": "714-855-9304"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toluca Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.