Alpha Staff Roster - Providence Health & Servicescalifornia.providence.org/~/media/Files/Providence...
Transcript of Alpha Staff Roster - Providence Health & Servicescalifornia.providence.org/~/media/Files/Providence...
Providence Holy Cross Medical CenterStaff Roster
Page 1 Printed on Friday, April 13, 2018
Abdeen, Omaran A., MDKidney Consultants Medical Group11550 Indian Hills Rd.#371Mission Hills, CA 91345Tel: (818) 365-1194Fax: (818) 898-3835
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNephrologyInternal Medicine
Medicine1700878410
Abdou, Rafik, MDACE Medical Associates15031 Rinaldi StNorth BuildingMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1740594415
Achamallah, Nagui S., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalPsychiatry
Medicine1629057393
Aggarwal, Ashish K., MDCardiovascular Consultants Med. Group16542 Ventura Blvd., Ste # 402Encino, CA 91436Tel: (818) 782-5041Fax: (818) 205-9091
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiology - Interventional (SRC)Cardiovascular DiseaseInternal MedicineMedicine1760682868
Ahdoot, David, MDWomen's Pavilion Medical Group, Inc.191 S. Buena Vista St.#340Burbank, CA 91505Tel: (818) 559-7500Fax: (818) 559-6453
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1023210432
Ahluwalia, Raj S., MD15211 Vanowen StreetSte 207Van Nuys, CA 91405Tel: (818) 392-8620Fax: (818) 322-0499
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOrthopedic Surgery
Surgery1306992904
Providence Holy Cross Medical CenterStaff Roster
Page 2 Printed on Friday, April 13, 2018
Aimaq, Rahim, MD77 Rolling Oaks Drive,Suite #203Thousand Oaks, CA 91361Tel: (805) 379-9696Fax: (805) 379-9695
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesySurgical Oncology
Surgery1710133888
Ajakwe, Reginald C., MDComprehensive Pain Physicians (CPP)201 South Buena Vista StreetSuite 238Burbank, CA 91505Tel: (818) 325-2088Fax: (818) 325-2096
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiologyPain Management
Surgery1467485730
Akopov, Sergey E., MDProvidence Teleneurology2701 W. Alameda Ave., #500Burbank, CA 91505Tel: (818) 238-0001Fax: (818) 855-8029
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyTeleneurology
Medicine1669566147
Alexander, Alan, MDProfessional Imaging Med. Group15031 Rinaldi StRadiologyMission Hills, CA 91345Tel: (888) 225-0628Fax: (949) 861-9086
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalRadiology
Internal Medicine1518126341
Ali, Faraz, MD15451 San Fernando Mission BlvdMission Hills, CA 91345Tel: (877) 634-3196Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalInternal Medicine
Medicine1598170938
Altamirano, Jaime A., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4587Fax: (818) 838-7570
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1689680092
Providence Holy Cross Medical CenterStaff Roster
Page 3 Printed on Friday, April 13, 2018
Amini, Kamyar, MDPrivate Office8435 Reseda BlvdNorthridge, CA 91324Tel: (818) 998-6600Fax: (818) 659-7694
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOtolaryngology
Surgery1609067040
Amirgholami, Mahin, MD23101 Sherman Place#401West Hills, CA 91307Tel: (818) 888-6545Fax: (818) 274-5623
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1598943748
Ani, Chizobam, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1497045017
Antebi, Alon, DO42135 10th Street West# 101Lancaster, CA 93534Tel: (661) 726-5005Fax: (661) 726-5377
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOrthopedic Surgery
Surgery1639174816
Aoys, Maureen C., PANeurosurgical Associates of Los Angeles Inc.25751 McBean Parkway#305Valencia, CA 91355Tel: (661) 799-2542Fax: (661) 253-0248
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantNeurosurgery
Surgery1619208832
Applebaum, Martin E., MDProfessional Imaging Med. Group15031 Rinaldi StreetRadiologyMission Hills, CA 91345Tel: (818) 496-4530Fax: (818) 496-4451
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveRadiology
Medicine1134273980
Providence Holy Cross Medical CenterStaff Roster
Page 4 Printed on Friday, April 13, 2018
Arcinue, Maria Roxanne Aileen V., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1174787931
Ardalan, Maryam, MD23861 McBean ParkwaySuite B-2Valencia, CA 91355Tel: (661) 260-1282Fax: (661) 254-4212
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1396936217
Arnaout, Walid S., MD77 East Rolling Oaks Drive,Suite # 203Thousand Oaks, CA 91361Tel: (805) 379-9696Fax: (805) 379-9695
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGeneral Surgery
Surgery1023072816
Arora, Ramesh K., MDFit Heart MD14411 Hamlin StreetVan Nuys, CA 91401Tel: (818) 994-0616Fax: (818) 994-6579
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInternal Medicine
Medicine1619964095
Artola, Rosa T., DOHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 827-9950Fax: (818) 827-9951
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalRheumatology
Medicine1962848978
Assomull, Vinod M., MDRenal Consultants Medical Group10605 Balboa Blvd., # 240Granada Hills, CA 91344Tel: (818) 366-4626Fax: (818) 366-4630
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNephrologyInternal Medicine
Medicine1982619359
Providence Holy Cross Medical CenterStaff Roster
Page 5 Printed on Friday, April 13, 2018
Atiya, Azmi W., MDCardiothoracic & Vascular Surgery Medical Group18350 Roscoe Boulevard#201Northridge, CA 91325Tel: (818) 993-4471Fax: (818) 993-7565
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiothoracic SurgeryThoracic SurgeryVascular SurgerySurgery1639109648
Atkinson, Benjamin E., MD105 W. 8th Avenue, Suite 318C East TowerSpokane, WA 99204Tel: (509) 474-2894Fax: (509) 474-2895
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1023256237
Atwal, Sarabjit K., MD1100 Goethais Drive, Suite BRichland, WA 99352Tel: (509) 946-7931Fax: (509) 946-7223
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1881928414
Avelino, Christopher F., MDFacey Medical Group26357 McBean Parkway,Suite # 310Santa Clarita, CA 91355Tel: (661) 222-2605Fax: (661) 222-2660
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1649298738
Avila, Tiffany P., MDProvidence Medical Institute11550 Indian Hills Road #381Mission Hills, CA 91345Tel: (818) 361-0917Fax: (818) 361-1606
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNeurosurgery
Surgery1528275864
Avitia, Sofia, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 869-7256Fax: (818) 837-5774
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOtolaryngologyNeurology
Surgery1811194020
Providence Holy Cross Medical CenterStaff Roster
Page 6 Printed on Friday, April 13, 2018
Ayuste, Brian B., MDRenal Consultants Medical Group10605 Balboa Blvd., #240Granada Hills, CA 91344Tel: (818) 366-4626Fax: (818) 366-4644
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNephrologyInternal Medicine
Medicine1104003458
Azhibekov, Timur A., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1881897015
Aziz, Ihab, MDValley Vascular Assoc16917 Enadia WayVan Nuys, CA 91406Tel: (818) 401-1010Fax: (818) 401-1212
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveVascular SurgeryGeneral Surgery
Surgery1700873593
Azizi, Ali, MD11333 Sepulveda Blvd.Mission Hills, CA 91345Tel: (877) 634-3196Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveFamily Medicine
Medicine1225234529
Back, Nicholas N., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1548467962
Bagga, Dilprit, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyHematologyOncology
Medicine1427262757
Providence Holy Cross Medical CenterStaff Roster
Page 7 Printed on Friday, April 13, 2018
Bahadini, Bahareh, MD1157 Swallow LaneSimi Valley, CA 93065Tel: (805) 527-2770Fax: (805) 527-2870
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveHematologyOncologyInternal MedicineMedicine1295734614
Bajaj, Sameer, MDACE Med Associates15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 639-4333Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalCritical Care Medicine
Medicine1497842397
Baker, Derek L., PA-CNeurosurgical Associates of Los Angeles Inc.25751 McBean Parkway#305Valencia, CA 91355Tel: (661) 799-2542Fax: (661) 253-0248
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional AHPPhysician AssistantNeurosurgery
Surgery1427300193
Barnes, Melissa A., NP11600 Indian Hills RdMission Hills, CA 91365Tel: (818) 496-4193Fax: (818) 496-4724
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNurse Practitioner
Surgery1487013314
Barseghian, Nana, MDACE Medical Associates15031 Rinaldi StreetNorth BuildingMission Hills, CA 91346Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyFamily Practice
Medicine1245401819
Basta, Fawzy S., MD17075 Devonshire Street# 204Northridge, CA 91325Tel: (818) 368-8929Fax: (818) 368-8940
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPsychiatryNeurology
Medicine1508932500
Providence Holy Cross Medical CenterStaff Roster
Page 8 Printed on Friday, April 13, 2018
Becker, Bruce B., MD5363 Balboa Boulevard#246Encino, CA 91316Tel: (818) 783-3510Fax: (818) 783-9059
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOphthalmology
Surgery1376584433
Bejjani, Bassam K., MD14860 Roscoe Boulevard#308Panorama City, CA 91402Tel: (818) 780-3995Fax: (818) 780-4061
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1487664207
Belitski, Andrei G., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1861412611
Bendebel, Ma. Victoria A., MD2923 Bradley St. Suite #120Pasadena, CA 91107Tel: (818) 898-4664Fax: (818) 347-5781
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1538177977
Berdichevsky, Inna, NPFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 869-7256Fax: (818) 869-7133
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalObstetrics and GynecologyNurse Practitioner
OB/GYN1053301077
Beshay, Magued F., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveGastroenterologyInternal Medicine
Medicine1538275938
Providence Holy Cross Medical CenterStaff Roster
Page 9 Printed on Friday, April 13, 2018
Bhanushali, Minal J., MD101 W. 8th AvenueSpokane, WA 99204Tel: (509) 474-4567Fax: (509) 474-3528
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurology
Medicine1265618995
Bhardwaj, Ashwani, MDACE Medical Associates15211 Vanowen Street#207Van Nuys, CA 91405Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1457427197
Bhasin, Eveleen, DOFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1679886501
Bhasin, Ruchika, MD
Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNephrology
Medicine1215241740
Bhatt, Archit C., MDProvidence Medical Group5050 NE Hoyt St., STE 315Portland, OR 97225Tel: (503) 216-1150Fax: (503) 215-8585
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1750574547
Billings, Harold, PACalifornia Emergency Physicians Med Grp15031 RinaldiERMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1992035513
Providence Holy Cross Medical CenterStaff Roster
Page 10 Printed on Friday, April 13, 2018
Binder, Robert P., DPMFacey Medical Group - Northridge9535 Reseda Blvd.Suite # 109Northridge, CA 91324Tel: (818) 837-5715Fax: (818) 837-5741
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1225010648
Bittar, Tarek Y., MD25751 McBean Parkway# 215Valencia, CA 91355Tel: (661) 253-3399Fax: (661) 253-3999
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOrthopedic Surgery
Surgery1902822760
Boland, Brendan, MDCity of Hope Medical Foundation44105 N. 15th St West101Lancaster, CA 93534Tel: (661) 902-5600Fax: (661) 951-0686
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalGeneral Surgery
Surgery1790944783
Bonabi, Reza, MD17075 Devonshire#301Northridge, CA 91325Tel: (818) 368-4212Fax: (818) 366-9351
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1154439743
Borazjani, Boris H., MDSuite # 31011550 Indian Hills RoadSuite # 310Mission Hills, CA 91345Tel: (818) 898-4900Fax: (818) 639-9262
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveSurgical Critical CareGeneral Surgery
Surgery1730356353
Botnick, Beverly S., MD
Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalInternal Medicine
Medicine1790754455
Providence Holy Cross Medical CenterStaff Roster
Page 11 Printed on Friday, April 13, 2018
Botnick, Leslie E., MDValley Radiotherapy Associates (Beverly Hills)9229 Wilshire Blvd.Beverly Hills, CA 90210Tel: (310) 651-9292Fax: (310) 888-8794
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRadiation Oncology
Surgery1275530917
Boyle, Sarah J., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1467472308
Brackin, Reid F., MDCalifornia Emergency Physicians Med Grp15031 Rinaldi St.Emerg.Dpt.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveEmergency Medicine
Medicine1538114004
Braid, Roy L., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1164725255
Bricker, Scott D., MD11550 Indian Hills Road #310Mission, CA 91345Tel: (818) 898-4900Fax: (818) 639-9262
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveSurgical Critical CareSurgery (General Surgery)
Surgery1205991973
Brison, Daniel I., MDFacey Medical Group19950 Rinaldi St. #200Porter Ranch, CA 91326Tel: (818) 403-2470Fax: (818) 363-9815
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveUrology
Surgery1386808624
Providence Holy Cross Medical CenterStaff Roster
Page 12 Printed on Friday, April 13, 2018
Brooks, Marlon R., MDBrooks Women's Center10515 Balboa Blvd# 160Granada Hills, CA 91344Tel: (818) 831-6611Fax: (818) 831-3836
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveObstetrics and Gynecology
OB/GYN1346278587
Broumandi, David D., MD15031 Rinaldi St.,Radiology Dept.Mission Hills, CA 91346Tel: (818) 496-4530Fax: (818) 496-4451
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveRadiology
Medicine1255370334
Brown, Jay J., MDCalifornia Emergency Physicians Med Grp668 26th St.Manhattan Beach, CA 90266Tel: (818) 365-8051Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveEmergency Medicine
Medicine1376556183
Brusil, Olga, MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4524Fax: (818) 838-7565
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeurology
Medicine1730275223
Bulmer, Johanna C., PA-CCalifornia Emergency Physicians Med Grp15031 Rinaldi StERMission Hills, CA 91345Tel: (818) 496-1270Fax: (818) 496-9631
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1518126804
Burks, James A., MDValley Vascular Assoc16917 Enadia WayVan Nuys, CA 91406Tel: (818) 401-1010Fax: (818) 401-1212
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyVascular SurgeryGeneral Surgery
Surgery1356378566
Providence Holy Cross Medical CenterStaff Roster
Page 13 Printed on Friday, April 13, 2018
Buttelman, Christopher R., MDButtelman Medical Group17075 Devonshire St.#209Northridge, CA 91325Tel: (818) 832-7802Fax: (818) 832-7805
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1437128840
Cadena, Luis M., PA-CNorth Valley Orthopedic11550 Indian Hills Rd.#241Mission Hills, CA 91345Tel: (818) 361-0136Fax: (818) 365-1259
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantOrthopedic Surgery
Surgery1518340371
Cadman, Sarah, MDACE Medical Associates15031 Rinaldi StreetNorth BuildingMission Hills, CA 91345Tel: (818) 580-1600Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1427003490
Calvin, Dorothy L., MD8833 Reseda BoulevardSuite DNorthridge, CA 91324Tel: (818) 727-2626Fax: (818) 727-2625
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOphthalmology
Surgery1700822764
Camacho, Judeen, NP18370 Burbank Blvd. Ste 414Tarzana, CA 91356Tel: (818) 506-3384Fax: (818) 774-2298
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional AHPNurse PractitionerInfectious Disease
Medicine1881749208
Camara, Deborah M., R.N.P.Valley Neonatology Medical AssociatesPSJMC - NICU501 S. Buena Vista St.Burbank, CA 91505Tel: (818) 847-6332Fax: (818) 847-6339
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalNeonatologyPediatrics
Pediatrics1699861468
Providence Holy Cross Medical CenterStaff Roster
Page 14 Printed on Friday, April 13, 2018
Cardenas, Doris, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeurology
Medicine1144384116
Casarez, Timothy W., MDPediatric Cardiology Med. Assoc. of So. Cal.5400 Balboa Blvd.#202Encino, CA 91316Tel: (818) 784-6269Fax: (818) 784-1531
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatric CardiologyPediatrics
Pediatrics1992782148
Castelblanco, Liliana, MDFacey Medical Group11333 N. Sepulveda BlvdMission Hills, CA 91345Tel: (818) 869-7253Fax: (818) 898-1682
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalPediatrics
Pediatric1275951964
Castillo, Gregory, MDFacey Medical Group26357 McBean Parkway, Suite # 320Valencia, CA 91355Tel: (661) 222-2658Fax: (661) 222-2664
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyFamily Practice
Medicine1700839917
Castro, Michael P., RNFA15031 Rinaldi StreetAttn: ORMission Hills, CA 91345Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalRegistered Nurse First Assistant
Surgery1316145261
Chahin, Fadi, MD465 N. Roxbury Drive#1020Beverly Hills, CA 90210Tel: (310) 274-2763Fax: (424) 239-5086
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPlastic Surgery
Surgery1578577920
Providence Holy Cross Medical CenterStaff Roster
Page 15 Printed on Friday, April 13, 2018
Chaiken, Lisa M., MDValley Radiotherapy Associates Medical Group, Inc.1500 Rosecrans Ave., Suite 400Manhattan Beach, CA 90266Tel: (310) 335-4065Fax: (310) 335-4098
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRadiation OncologyRadiology
Surgery1528062023
Chan, Kevin W., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1184652588
Chang, Brian J., MDFacey Medical Group - ophthalmology11333 Sepulveda Blvd.Mission Hills, CA 91345Tel: (818) 869-7269Fax: (818) 403-2167
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalOphthalmology
Surgery1629335567
Chapman, Rachel L., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1043293509
Chatham, Philip L., MD15031 Rinaldi Street, Suite 150Mission Hills, CA 91345Tel: (818) 660-4700Fax: (818) 837-1987
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveHematology/OncologyInternal Medicine
Medicine1740279264
Chen, Andy Y., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 226-8179Fax: (818) 838-7570
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1831153659
Providence Holy Cross Medical CenterStaff Roster
Page 16 Printed on Friday, April 13, 2018
Chen, Emery L., MD
Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalGeneral SurgeryEndocrine Surgery
Surgery1922201763
Chen, LiChing, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 869-7256Fax: (818) 869-7133
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveObstetrics and Gynecology
OB/GYN1578577326
Cheon, Katie K., NPC, PhDPSJMC - NICU501 S. Buena Vista St.Burbank, CA 91505Tel: (818) 847-6332Fax: (818) 847-6339
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional AHPNeonatologyPediatrics
Pediatrics1154555878
Chetty, Nagaraj M., MD15211 Vanowen St.#209Van Nuys, CA 91405Tel: (818) 997-0422Fax: (818) 997-1888
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveGastroenterologyInternal Medicine
Medicine1508975293
Chhablani, Rahul K., MDSpecialty Surgery Mission Hills11550 Indian Hills RoadSuite 381Mission Hills, CA 91345-1244Tel: (818) 361-0917Fax: (818) 361-1606
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveGastroenterology
Medicine1376799395
Chiang, Tom S., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInfectious Disease
Medicine1346345758
Providence Holy Cross Medical CenterStaff Roster
Page 17 Printed on Friday, April 13, 2018
Chidsey III, Charles W., MDCharles W. Chidsey III, M.D.17075 Devonshire Street#106Northridge, CA 91325Tel: (818) 363-9732Fax: (818) 363-9853
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveGeneral Surgery
Surgery1831147735
Chien, David W., MDFacey Medical Group - Northridge19950 Rinaldi StreetNorthridge, CA 91326Tel: (818) 837-5715Fax: (818) 837-5741
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1346303674
Chikyarappa, Anand K., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4570Fax: (818) 838-7570
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1780754333
Chin, Steven W., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1730279464
Ching, Janet C., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4530Fax: (818) 838-7516
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1619943719
Chmait, Ramen H., MDUSC Ob/Gyn, Inc.2020 Zonal Ave.IRD 220Los Angeles, CA 90033Tel: (323) 409-3536Fax: (323) 226-2710
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyMaternal and Fetal MedicineObstetrics and Gynecology
OB/GYN1396744736
Providence Holy Cross Medical CenterStaff Roster
Page 18 Printed on Friday, April 13, 2018
Cho, Nam, MD, DDS11550 Indian Hills Rd.#270Mission Hills, CA 91345Tel: (818) 365-5636Fax: (818) 365-5639
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOral Surgery
Surgery1871810846
Chou, Fung C., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA15451 San Fernando Mission Blvd. #200Mission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNephrologyInternal Medicine
Medicine1114945227
Chowdhury, Hasan M., MDFacey Medical Group26357 McBean Parkway# 300Santa Clarita, CA 91355Tel: (661) 222-2600Fax: (661) 222-2633
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1114945235
Chu, Dortha T., MDCity of Hope Medical Foundation15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 660-4700Fax: (818) 837-1987
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalSurgical Oncology
Surgery1629227251
Chung, Sue Y., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CAFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRheumatologyInternal Medicine
Medicine1033396767
Clarfield, Joel D., MD11550 Indian Hills Road#200Mission Hills, CA 91345Tel: (818) 838-2200Fax: (818) 838-6888
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1700941788
Providence Holy Cross Medical CenterStaff Roster
Page 19 Printed on Friday, April 13, 2018
Climaco, Delora A., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (877) 634-3196Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1407880743
Clough, Wendy G., MD23928 Lyons Ave.23928 Lyons Ave.#208Newhall, CA 91321Tel: (661) 255-8544Fax: (661) 255-9964
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInfectious DiseaseInternal Medicine
Medicine1225077175
Cohen, Michael D., MDUCLA Health Santa Clarita Medical Specialties25775 McBean PkwyValencia, CA 91355Tel: (661) 753-5464Fax: (661) 753-5466
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInfectious Disease
Medicine1871517995
Cohen, Seth A., MDCity of Hope1500 E.Duarte RoadDuarte, CA 91010Tel: (626) 471-9200Fax: (626) 301-8233
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalUrologyFemale Pelvic Medicine and Reconstructive Surgery
Surgery1164670287
Colby, Pamela S., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1629009188
Colletta, Ryan, DDS26357 McBean PkwySuite #255Valencia, CA 91355Tel: (661) 255-1515Fax: (661) 255-1661
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOral and Maxillofacial Surgery
Surgery1962793174
Providence Holy Cross Medical CenterStaff Roster
Page 20 Printed on Friday, April 13, 2018
Collins, Tanya M., MDFacey Medical Group - Northridge11177 Tampa AvenueNorthridge, CA 91326Tel: (818) 837-5715Fax: (818) 837-5741
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1326072588
Compoginis, John M., MD1044 S. Fair Oaks#101Pasadena, CA 91105Tel: (626) 449-4859Fax: (626) 449-4822
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPlastic Surgery
Surgery1306039318
Cooper, Martin A., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 869-7256Fax: (818) 869-7133
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveObstetrics and Gynecology
OB/GYN1275547028
Corry, Dalila, MD18433 Roscoe Blvd.Suite # 212Northridge, CA 91325Tel: (818) 349-1872Fax: (818) 206-9642
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNephrologyInternal Medicine
Medicine1023168127
Cummings, Bruce W., DOCalifornia Emergency Physicians Med Grp15031 Rinaldi St.E.R.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveEmergency Medicine
Medicine1407869225
Czartoski, Todd J., MD550 17th Ave., Suite 500Seattle, WA 98122Tel: (206) 320-2208Fax: (206) 320-2451
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1417033226
Providence Holy Cross Medical CenterStaff Roster
Page 21 Printed on Friday, April 13, 2018
Czubiak, Catherine P., PACalifornia Emergency Physicians Med Grp10531 Rinaldi StreetER DepartmentMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1578884136
Dabel, Pascal, MDKidney Consultants Medical Group11550 Indian Hills Rd#371Mission Hills, CA 91345Tel: (818) 365-1194Fax: (818) 403-2668
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNephrology
Medicine1033306592
Dalali, Michael J., MDFacey Medical Group - ophthalmology11333 Sepulveda Blvd.Mission Hills, CA 91345Tel: (818) 869-7269Fax: (818) 403-2167
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOphthalmology
Surgery1184658338
Dang, Andy H., MDFacey Medical Group23803 McBean Parkway# 202Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 424-8823
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEndocrinology
Medicine1154335735
Daniele, Kateri K., NPFacey Medical Group / Facey Medical Foundation - Mission Hills, CA15451 San Fernando Mission Blvd.Mission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalNurse PractitionerInternal Medicine
Medicine1962759019
Dao, Michelle O., PA-C18350 Roscoe Blvd #201Northridge, CA 91325Tel: (818) 993-4471Fax: (818) 993-7565
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional AHPPhysician Assistant
Surgery1316484710
Providence Holy Cross Medical CenterStaff Roster
Page 22 Printed on Friday, April 13, 2018
Darakjian, Hrair E., MD23734 Valencia Blvd.#203Valencia, CA 91355Tel: (661) 253-2223Fax: (661) 253-2297
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOrthopedic SurgeryHand SurgerySpine SurgerySurgery1447274972
Das, Aninda, MDNortheast Valley Health Corporation1172 N. Maclay Ave.San Fernando, CA 91340Tel: (818) 898-1388Fax: (818) 270-9590
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalPediatric Infectious DiseasePediatrics
Pediatrics1639145972
Das, Jayanta R., MDCardiovascular Consultants Medical Group23929 McBean Parkway#216Valencia, CA 91355Tel: (661) 259-1534Fax: (661) 284-3670
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiology - Interventional (SRC)CardiologyCardiovascular DiseaseMedicine1891843827
Date, Anil R., MDACE Med Associates15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 305-2542Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal MedicineGeriatric Medicine
Medicine1972860864
Date, Pravin R., MDACE Med Associates15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1871871053
David, Elmer S., MDChildren's Hospital Los Angeles Medical GroupChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatal-Perinatal Medicine
Pediatrics1215019641
Providence Holy Cross Medical CenterStaff Roster
Page 23 Printed on Friday, April 13, 2018
David, Yvette D., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4524Fax: (818) 838-7565
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGastroenterologyInternal Medicine
Medicine1134219710
Davtyan, Aram V., MD15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyFamily PracticeHospitalist
Medicine1578616553
Davydov, Erik E., MDFacey Medical Group11333 Sepulveda Blvd.,Mission Hills, CA 91351Tel: (818) 869-7254Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1336173582
De Guzman, Jonathan R., PANorth Valley Orthopedic11550 Indian Hills Rd.#241Mission Hills, CA 91345Tel: (818) 361-0136Fax: (818) 365-1259
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantOrthopedic Surgery
Surgery1225121924
De Leon, Maria Creselda B., MDCity of Hope1500 E.Duarte RoadDuarte, CA 91010Tel: (626) 471-9200Fax: (626) 301-8233
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGynecology Oncology
OB/GYN1073773073
Dehdashti, Alma, DOFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Leave of Absence (Medical)Dermatology
Medicine1558542753
Providence Holy Cross Medical CenterStaff Roster
Page 24 Printed on Friday, April 13, 2018
Dekker, Albert, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyHematologyOncology
Medicine1578553590
Delshad, George M., MD14640 Parthenia StreetPanorama City, CA 91402Tel: (818) 830-6970Fax: (818) 830-3015
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1760493076
Desai, Anant J., MDRenal Consultants Medical Group10605 Balboa Blvd., # 240Granada Hills, CA 91344Tel: (818) 366-4626Fax: (818) 366-4630
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNephrologyInternal Medicine
Medicine1871500389
Deugarte, Daniel A., MDUCLA Pediatric Surgery Assoc10833 LeConte AveBox 709818, Room 72-140 CHSLos Angeles, CA 90095Tel: (310) 206-2429Fax: (310) 206-1120
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatric Surgery
Surgery1497971790
Devendra, Ganeshalingam G., MDSimi/San Fernando Valley Urology Ass.14901 Rinaldi Street#205Mission Hills, CA 91344Tel: (818) 365-0259Fax: (818) 365-0827
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1083681134
Dhanda, Lakhbinder P., MDValencia Internal Medical Group, Inc23823 Valencia Blvd., #210Valencia, CA 91355Tel: (661) 222-7333Fax: (661) 259-9175
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1669482048
Providence Holy Cross Medical CenterStaff Roster
Page 25 Printed on Friday, April 13, 2018
Diaz, Jaime A., MDCalifornia Emergency Physicians Med Grp15031 Rinaldi Street, ER Dept.ER Dept.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveEmergency Medicine
Medicine1790727949
Dietz, Adam R., MDFacey Medical Group19950 Rinaldi StreetSuite 200Porter Ranch, CA 91326Tel: (818) 403-2462Fax: (818) 363-7362
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOrthopedic Surgery
Surgery1346384898
Dimassa, Giancarlo P., MDCalifornia Emergency Physicians Med Grp15031 Rinaldi StreetEmergency RoomMission Hills, CA 91346Tel: (818) 365-8051Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveEmergency Medicine
Medicine1255370797
Do, Thinh T., MDFacey Medical Group27924 Seco Canyon Rd.Santa Clarita, CA 91350Tel: (661) 513-2100Fax: (661) 513-2132
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1497826176
Donin, Nicholas M., MDCity of Hope Foundation23823 Valencia Blvd., #130Santa Clarita, CA 91355Tel: (661) 254-2777Fax: (661) 253-2837
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalUrology
Surgery1780902015
Drannikova, Marina, ACNP15031 Rinaldi Street2nd Flr. Facey Hospitalist OfficeMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalNurse PractitionerInternal Medicine
Medicine1023493889
Providence Holy Cross Medical CenterStaff Roster
Page 26 Printed on Friday, April 13, 2018
Dua, Renee, MD8349 Reseda Boulevard#GNorthridge, CA 91324Tel: (818) 886-5827Fax: (818) 886-8786
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNephrologyInternal Medicine
Medicine1154436707
Dua, Sohan L., MDValley Renal Medical Group8349 Reseda Boulevard#GNorthridge, CA 91325Tel: (818) 886-7300Fax: (818) 886-8786
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNephrologyInternal Medicine
Medicine1174545693
Dukkipati, Ramanath B., MD18531 Roscoe Blvd.Suite 206Northridge, CA 91325Tel: (818) 993-5600Fax: (818) 775-1509
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNephrologyInternal Medicine
Medicine1457570376
Dursun, Danny, MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 605-2652Fax: (818) 838-7570
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1790005080
Eghbalieh, Babak, MD19950 Rinaldi Street, Suite 101-DPorter Ranch, CA 91326Tel: (818) 900-6480Fax: (818) 900-6488
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalGeneral Surgery
Surgery1770774770
Eghbalieh, Navid, MDProfessional Imaging Med. Group15031 Rinaldi StRadiologyMission Hills, CA 91345Tel: (818) 496-4530Fax: (818) 496-4451
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveRadiology
Medicine1497056105
Providence Holy Cross Medical CenterStaff Roster
Page 27 Printed on Friday, April 13, 2018
Eghbalieh, Sammy D., MD19950 Rinaldi Street, Suite 101-DPorter Ranch, CA 91326Tel: (818) 900-6480Fax: (818) 900-6488
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveVascular Surgery
Surgery1275794224
El-Bialy, Adel K., MDCardiovascular Consultants Med. Group14901 Rinaldi Street#110Mission Hills, CA 91345Tel: (818) 365-1339Fax: (818) 898-4301
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiology - Interventional (SRC)CardiologyInternal MedicineMedicine1063512473
Ellerbroek, Nancy A., MDValley Radiotherapy Associates (Mission Hills)15031 Rinaldi Street - Cancer CenterMission Hills, CA 91346Tel: (818) 496-4410Fax: (818) 496-4758
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveRadiation OncologyRadiology
Surgery1821071507
Elmeligy, Hazim M., MD7300 Medical Center DriveWest Hills, CA 91307Tel: (818) 996-0300Fax: (818) 992-0304
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesySurgical Assist
Surgery1720009855
Eng, Liana L., MDFacey Medical Group17909 Soledad CanyonCanyon Country, CA 91351Tel: (661) 250-5225Fax: (661) 250-5290
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1275760662
Engkatanakorn, Naruchon, MDLakeside Community Health8510 Balboa Blvd.#150Northridge, CA 91325Tel: (818) 552-6230Fax: (818) 637-2785
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalInternal Medicine
Medicine1073749792
Providence Holy Cross Medical CenterStaff Roster
Page 28 Printed on Friday, April 13, 2018
Englund, Paul V., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1366465981
Epstein, Aaron J., MD2020 Zonal Ave.IRD 213Los Angeles, CA 90033Tel: (323) 409-3306Fax: (323) 226-2710
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyMaternal and Fetal MedicineObstetrics and Gynecology
OB/GYN1134371743
Esani, Nahid N., MDPO Box 3975Glendale, CA 91221Tel: (818) 288-3925Fax: (818) 847-6339
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeonatology
Pediatrics1902023989
Eshaghian, Babak, MD17075 Devonshire Street, #205Northridge, CA 91325Tel: (818) 366-2977Fax: (818) 360-3533
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePulmonary/Critical CareInternal Medicine
Medicine1861716318
Eshaghian, Michael, MD7100 Van Nuys Blvd#113Van Nuys, CA 91405Tel: (818) 909-0004Fax: (818) 909-0008
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1639297096
Esparrago, Jose Mari Z., MDLakeside Medical Associates8510 Balboa Blvd, #150Northridge, CA 91325-5810Tel: (818) 365-8553Fax: (818) 365-4524
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1083616106
Providence Holy Cross Medical CenterStaff Roster
Page 29 Printed on Friday, April 13, 2018
Esteban, Jose M., MDPathology Associates of Southern California501 S. Buena Vista StreetPathologyBurbank, CA 91505Tel: (818) 847-6022Fax: (818) 847-6029
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPathology
Surgery1952395402
Etehad, Siamak P., MD17075 Devonshire#100Northridge, CA 91325Tel: (818) 363-2077Fax: (818) 363-2055
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1184728479
Evangelista, Cindy C., PACalifornia Emergency Physicians (CEP)15031 Rinaldi StreetER Dept.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1821271768
Evans, Elizabeth D., MD9111 Corbin AvenueNorthridge, CA 91324Tel: (818) 743-5700Fax: (818) 534-0358
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatricsPediatric Nephrology
Pediatrics1508884941
Fakheri, Saman, MDSaman Fakheri, MD17075 Devonshire StreetSuite 201Northridge, CA 91325Tel: (818) 923-5453Fax: (310) 593-2521
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiology - Interventional (SRC)Internal Medicine
Medicine1790017218
Falakassa, Bahman B., MD9375 San Fernando RoadSun Valley, CA 91352Tel: (310) 836-2926Fax: (818) 504-9649
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGastroenterology
Medicine1982649331
Providence Holy Cross Medical CenterStaff Roster
Page 30 Printed on Friday, April 13, 2018
Fanale, Christopher V., MD499 E. Hampden Ave. #360Englewood, CO 80113Tel: (303) 788-6984Fax: (303) 788-7666
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurology
Medicine1598776452
Fanous, Basem, MDSylmar Medical Center14124 Foothill Blvd.#100Sylmar, CA 91342Tel: (818) 367-1012Fax: (818) 367-7570
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1619072600
Farid, Hany, MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4524Fax: (818) 838-7565
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveGeneral Surgery
Surgery1215035415
Farrokh, Ali, MDACE Med Associates15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 305-2542Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPulmonary/Critical Care
Medicine1164750170
Fazilat, Bahareh, MD14901 Rinaldi Street, Suite 202Mission HIlls, CA 91345Tel: (818) 361-7358Fax: (818) 361-0403
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1770598534
Featherstone, Elisha L., MDNortheast Valley Health Corporation1172 N. Maclay AvenueSan Fernando, CA 91340Tel: (818) 898-1388Fax: (818) 702-9578
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1740281112
Providence Holy Cross Medical CenterStaff Roster
Page 31 Printed on Friday, April 13, 2018
Feghali, Nabil, MDCentral Medical Group8111 Canoga AvenueCanoga Park, CA 91304Tel: (818) 704-7200Fax: (818) 704-3964
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1982787057
Feldman, Rochelle C., MDPrima Pediatrics18520 Via Princessa, C-2Canyon Country, CA 91387Tel: (661) 424-9000Fax: (661) 424-0808
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatricsNeonatology
Pediatrics1053368167
Fernandez, Eric L., MDLakeside Community Health24355 Lyons Avenue, Suite #222Santa Clarita, CA 91321-2388Tel: (661) 222-9381Fax: (661) 222-2264
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1326052887
Fernandez, Jennifer M., PACalifornia Emergency Physicians Med Grp15031 Rinaldi St.ER DeptMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1629205323
Ferry, David A., MDPediatric Cardiology Med. Assoc. of So. Cal.5400 Balboa Blvd.#202Encino, CA 91316Tel: (818) 784-6269Fax: (818) 784-1531
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatric CardiologyPediatrics
Pediatrics1174502793
Fields, Scott A., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 869-7267Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveGeneral Surgery
Surgery1316051204
Providence Holy Cross Medical CenterStaff Roster
Page 32 Printed on Friday, April 13, 2018
Fisher, Jason M., MDCalifornia Emergency Physicians Med Grp15031 Rinaldi St.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveEmergency Medicine
Medicine1124032248
Flores Jr., Carlos A., MD500 E. Olive Ave.#420Burbank, CA 91501Tel: (818) 566-9947Fax: (818) 566-9957
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveObstetrics and Gynecology
OB/GYN1619271947
Flores Sr., Carlos, MD14673 Parthenia St#101Panorama City, CA 91402Tel: (818) 785-7300Fax: (818) 785-2775
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveObstetrics and Gynecology
OB/GYN1407880040
Flores, Robert O., MD11273 Laurel Canyon BlvdSuite #1San Fernando, CA 91340Tel: (818) 365-3978Fax: (818) 365-2769
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveFamily Practice
Medicine1932162013
Friedlich, Philippe S., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatal-Perinatal MedicinePediatrics
Pediatrics1720180680
Friedrich, Sherri H., NP15031 Rinaldi St.3rd Floor, Stroke OfficeMission Hills, CA 91345Tel: (818) 496-4206Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalNurse PractitionerNeurology
Medicine1366725509
Providence Holy Cross Medical CenterStaff Roster
Page 33 Printed on Friday, April 13, 2018
Fung, Wesley L., MDValley Vascular Assoc16917 Enadia WayVan Nuys, CA 91406Tel: (818) 401-1010Fax: (818) 401-1212
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyVascular SurgeryGeneral Surgery
Surgery1861679979
Gall, Robert C., MDValley Neonatology Medical GroupPSJMC - NICU501 South Buena Vista StreetBurbank, CA 91505Tel: (818) 847-6332Fax: (818) 847-6339
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeonatologyPediatrics
Pediatrics1932325206
Gallivan, Kevin F., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 869-7256Fax: (818) 869-7133
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1811928377
Gandhi, Arun P., MD18126 Sandringham CourtNorthridge, CA 91326Tel: (818) 366-5672Fax: (805) 306-8809
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Courtesy without PrivilegesAnesthesiology
Surgery1558392464
Gandhi, Kamal V., MDRenal Consultants Medical Group10605 Balboa Blvd., #240Granada Hills, CA 91344Tel: (818) 366-4626Fax: (818) 366-4630
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNephrologyInternal Medicine
Medicine1972510485
Ganjianpour, Ramin, MDNorth Valley Orthopedic11550 Indian Hills Road#241Mission Hills, CA 91345Tel: (818) 361-0136Fax: (818) 365-1259
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveOrthopedic SurgeryHand Surgery
Surgery1447274782
Providence Holy Cross Medical CenterStaff Roster
Page 34 Printed on Friday, April 13, 2018
Ganster, Anna C., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1861657082
Garabedian, Shahe, MDCardiovascular Consultants Medical Group23929 McBean Pkwy.#216Valencia, CA 91355Tel: (661) 259-1534Fax: (661) 284-3670
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiologyInternal Medicine
Medicine1841313772
Garcia, Firmo C., MDTri Valley Medical Group44140 20th St. West, Suite #105Lancaster, CA 93534Tel: (661) 607-1023Fax: (661) 678-0281
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeonatology
Pediatrics1255423141
Garingo, Arlene D., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1215020136
Golder, Michael G., MD
Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalPsychiatry
Medicine1760455778
Goldman, Robert D., MDFacey Medical Group23804 McBean Parkway#202Valencia, CA 91355Tel: (661) 290-5330Fax: (661) 290-5331
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyDermatology
Medicine1104989649
Providence Holy Cross Medical CenterStaff Roster
Page 35 Printed on Friday, April 13, 2018
Gomez, Caitlin L., MDRadiology15031 Rinaldi StRadiologyMission Hills, CA 91345Tel: (818) 496-4410Fax: (818) 496-4758
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRadiation Oncology
Surgery1619294907
Gonzalez, Rene, MD11333 Sepulveda Blvd.Mission Hills, CA 91345Tel: (818) 869-7253Fax: (818) 898-1682
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePediatrics
Pediatrics1578660346
Gopurala, Balaganesh, MDThe Oncology Institute of Hope and Innovation11480 Brookshire Ave. #309Downey, CA 90241Tel: (562) 869-1201Fax: (562) 869-1281
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
TemporaryInternal MedicineMedical Oncology
Medicine1316967854
Gregson, Aric L., MD11301 West Olympic Boulevard#121-435Los Angeles, CA 90064Tel: (424) 256-6682Fax: (310) 388-5265
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInfectious DiseaseInternal Medicine
Medicine1588683007
Grossman, Glenn M., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4535Fax: (818) 838-7517
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveObstetrics and Gynecology
OB/GYN1063693000
Groves, William E., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 869-7253Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePediatrics
Pediatrics1760400758
Providence Holy Cross Medical CenterStaff Roster
Page 36 Printed on Friday, April 13, 2018
Grubbs, Brendan H., MDUSC Dept of OB/GYN2020 Zonal Ave.IRD 220Los Angeles, CA 90033Tel: (323) 409-3416Fax: (323) 226-2710
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyMaternal and Fetal MedicineObstetrics and Gynecology
OB/GYN1174775670
Gruber, Christopher, MDACE Med Associates15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1679743405
Guest, Richard, MD18250 Roscoe Blvd#335Northridge, CA 91325Tel: (818) 998-8591Fax: (818) 998-1196
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyVascular SurgeryGeneral Surgery
Surgery1811064728
Gupta, Deepa, MDACE Med Associates15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalInternal Medicine
Medicine1457548190
Gupta, Ravi, MD8737 Van Nuys Blvd.,Panorama City, CA 91402Tel: (818) 810-6429Fax: (818) 810-6479
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiologyInternal Medicine
Medicine1972504520
Hadadian, Sedi, MD23101 Sherman Place# 401West Hills, CA 91367Tel: (888) 816-2291Fax: (818) 274-5623
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1326295452
Providence Holy Cross Medical CenterStaff Roster
Page 37 Printed on Friday, April 13, 2018
Hagen, Eunice D., DOChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1942442603
Haggiagi, Jehad M., MDKidney Consultants11550 Indian Hills Rd., Ste. 371Mission Hills, CA 91345Tel: (818) 365-1194Fax: (818) 898-3835
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNephrology
Medicine1437420072
Hagopjanian, Armen, DPML.A. Institute of Foot and Ankle Surgery201 S. Buena Vista St.#305Burbank, CA 91505Tel: (818) 848-5588Fax: (818) 848-5509
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePodiatry
Surgery1972510840
Hajjar, George, MD1500 E. Duarte Rd.Duarte, CA 91010Tel: (626) 775-3514Fax: (626) 408-3911
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalHematology and Medical Oncology
Medicine1619978715
Hakakian, Fardin, DPM5620 Wilbur AvenueSuite #305Tarzana, CA 91356Tel: (818) 578-5125Fax: (818) 514-6985
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1801812359
Hakimi, Michael N., DOThe Heart Medical Group16119 Vanowen St.Van Nuys, CA 91406Tel: (818) 904-6782Fax: (818) 904-5896
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiology - Interventional (SRC)Interventional CardiologyInternal MedicineMedicine1912193137
Providence Holy Cross Medical CenterStaff Roster
Page 38 Printed on Friday, April 13, 2018
Hammond, Jana M., CRNFASoltero & Yasuda Associates18350 Roscoe Boulevard#201Northridge, CA 91328Tel: (818) 993-4471Fax: (818) 993-7565
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalRNFA
Surgery1326078353
Hammoudeh, Jeffrey A., MD, DDS11550 Indian Hills Road, Ste # 270MS#96Mission Hills, CA 91345Tel: (818) 365-5636Fax: (818) 365-5639
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPlastic SurgeryOral and Maxillofacial Surgery
Surgery1285715086
Hannoun, Donald, MDCity of Hope44151 N. 15th West #101Lancaster, CA 93534Tel: (661) 902-5600Fax: (661) 951-0686
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1417187162
Hanpeter, David E., MD11550 Indian Hills Rd. # 310Mission Hills, CA 91345Tel: (818) 898-4900Fax: (818) 639-9262
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveSurgical Critical CareGeneral Surgery
Surgery1477583458
Hassan, Reham A., DOBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1346368388
Hawkins, John B., DOBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1033147871
Providence Holy Cross Medical CenterStaff Roster
Page 39 Printed on Friday, April 13, 2018
Heller, Justin, MD42135 10th St West#101Lancaster, CA 93534Tel: (661) 726-5005Fax: (661) 726-5377
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPlastic SurgeryHand Surgery
Surgery1639373590
Hernandez, Joel, PA-CCalifornia Emergency Physicians15031 Rinaldi StERMission Hills, CA 91345Tel: (818) 496-1270Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1467813162
Higgins, James R., MDRamesh Arora Medical Group14411 Hamlin StreetVan Nuys, CA 91401Tel: (818) 994-0616Fax: (818) 994-6579
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInternal MedicineInterventional CardiologyMedicine1982781191
Highsmith, Aaron S., PA-CCalifornia Emergency Physicians Med Grp15031 Rinaldi St.ER Dept.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1124290093
Hillman, Stephen A., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiologyCritical Care Medicine
Surgery1831112036
Hirsh, Heather L., PA-C15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 496-1270Fax: (818) 496-4565
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1245402130
Providence Holy Cross Medical CenterStaff Roster
Page 40 Printed on Friday, April 13, 2018
Hoffman, Rex, MDValley Radiotherapy Associates (Burbank)181 S. Buena Vista St.Department of Radiation OncologyBurbank, CA 91505Tel: (818) 847-3440Fax: (818) 847-3499
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRadiation Oncology
Surgery1497739650
Hogen Jr, Victor S., MD15031 Rinaldi StreetMission Hills, CA 91345Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNeurology
Medicine1235139346
Hom, Raymond P., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1063531507
Hou, Samuel Y., MDProvidence Medical Institute501 S. Buena Vista St.Burbank, CA 91505Tel: (818) 847-4835Fax: (818) 847-4842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalInterventional NeuroradiologyDiagnostic RadiologyNeuroradiologyMedicine1932421625
Hour, Billy T., MD11550 Indian Hills Road, #371Mission Hills, CA 91345Tel: (818) 365-1194Fax: (818) 898-3835 x8
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNephrology
Medicine1790097004
Hu, Eric C., MDPremier Plastic Surgery1044 S. Fair Oaks Ave#101Pasadena, CA 91105Tel: (626) 449-4859Fax: (626) 403-0311
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPlastic Surgery
Surgery1386846939
Providence Holy Cross Medical CenterStaff Roster
Page 41 Printed on Friday, April 13, 2018
Hu, Howard C., MD26357 McBean Parkway#215Valencia, CA 91355Tel: (661) 222-1122Fax: (661) 259-8878
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPlastic Surgery
Surgery1396790655
Huang, Stephen, MD1510 S. Central Ave.#240Glendale, CA 91204Tel: (818) 334-5425Fax: (818) 334-5427
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
TemporaryHematology/OncologyInternal Medicine
Medicine1124089685
Huang, Zhen S., MDValley Vascular Assoc16917 Enadia WayVan Nuys, CA 91406Tel: (818) 401-1010Fax: (818) 401-1212
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyVascular Surgery
Surgery1780834770
Hung, Calvin C., MDLakeside Medical Associates24355 Lyons Avenue#210Newhall, CA 91321Tel: (661) 222-9381Fax: (661) 222-2264
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyFamily Practice
Medicine1578775565
Hyer, Jennifer J., DOHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4517Fax: (818) 838-7570
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1770567711
Ibrahim, Nuha A., MDACE Medical Associates15031 Rinaldi StMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalInternal Medicine
Medicine1043519341
Providence Holy Cross Medical CenterStaff Roster
Page 42 Printed on Friday, April 13, 2018
Incerpi, Marc H., MDUSC OB/GYN, Inc.2020 Zonal Ave, IRD 220Los Angeles, CA 90033Tel: (323) 409-3306Fax: (323) 226-2710
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveMaternal and Fetal MedicineObstetrics and Gynecology
OB/GYN1891790705
Iyer, Narayan P., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1063643732
Izu, Jerry K., MDValencia Gynecology Associates27871 Smyth Drive#102Valencia, CA 91355Tel: (661) 259-1781Fax: (661) 259-4571
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveObstetrics and Gynecology
OB/GYN1407928039
Jabour, Adel F., MD18350 Roscoe Boulevard#200Northridge, CA 91325Tel: (818) 885-7905Fax: (818) 885-1631
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyVascular SurgeryGeneral Surgery
Surgery1154380301
Jackson, David B., MDAdvance TeleRadiologyP.O. Box 53803Irvine, CA 92619Tel: (800) 225-0628Fax: (888) 225-1271
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyTeleRadiologyNeuroradiologyDiagnostic RadiologyMedicine1063564748
Jackson, Paige Y., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1245431758
Providence Holy Cross Medical CenterStaff Roster
Page 43 Printed on Friday, April 13, 2018
Jahanian, Ardeshir, MDBuena Vista Anesthesia Medical Group101 S. First Street#1000Burbank, CA 91502Tel: (818) 845-8345Fax: (818) 845-9774
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1932490919
Jain, Ritu, MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (800) 919-9141Fax: (818) 838-7570
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1497029078
Jakl Jr., Miles S., MDACE Medical Associates15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1992738306
Jamehdor, Ali, DOCalifornia Emergency Physicians Med Grp15031 Rinaldi StERMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1528009008
Jankowski, Evelyn D., MD10316 Woodley AvenueGranada Hills, CA 91344Tel: (818) 368-5651Fax: (818) 363-4770
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyDermatology
Medicine1083604755
Janson, Amber L., PA-CCalifornia Emergency Med Grp15031 RinaldiERMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1750753141
Providence Holy Cross Medical CenterStaff Roster
Page 44 Printed on Friday, April 13, 2018
Jarahzadeh, Michael R., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1275551822
Javadi, Nader, MD19231 Victory Blvd#103Reseda, CA 91355Tel: (818) 578-6454Fax: (818) 578-6571
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyHematology/OncologyInternal Medicine
Medicine1962405266
Jen, Howard C., MD, MSHSUCLA Pediatric Surgery Assoc10833 LeConte AveBox 709818, Room 72-140 CHSLos Angeles, CA 90095Tel: (310) 206-2429Fax: (310) 206-1120
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalPediatric Surgery
Surgery1841428323
Jethanandani, Vijay, MDVirtual Medical Staff2655 Northwinds ParkwayAlpharetta, GA 30009Tel: (877) 732-7089Fax: (404) 751-5297
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTelepsychiatry
Medicine1932187143
Joa, Liana, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA15451 San Fernando Mission Blvd #200Mission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1720347115
Jogani, Piyush K., MD18250 Roscoe Boulevard#310Northridge, CA 91325Tel: (818) 885-9200Fax: (818) 885-9201
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGastroenterologyInternal Medicine
Medicine1730197609
Providence Holy Cross Medical CenterStaff Roster
Page 45 Printed on Friday, April 13, 2018
Johnson, Amy, MDNortheast Valley Health Corp1172 N. Maclay AveSan Fernando, CA 91340Tel: (818) 898-1388Fax: (818) 270-9590
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1053639070
Johnson, Gina, MDNortheast Valley Health Corporation1172 N. Maclay AvenueSan Fernando, CA 91340Tel: (818) 898-1388Fax: (818) 702-9578
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1548261373
Joseph, Thomas P., MD23823 Valencia Blvd. Suite #250Santa Clarita, CA 91355Tel: (661) 799-1999Fax: (661) 799-0829
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyHematologyInternal Medicine
Medicine1861430092
Josephson, William Y., MD17075 Devonshire Street#100 ANorthridge, CA 91325Tel: (818) 360-4600Fax: (818) 368-6900
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1376647651
Judd, Lilith M., MDProvidence Health & Services9135 SW Barnes Road., #461Portland, OR 97225Tel: (503) 216-1150Fax: (917) 202-0086
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1508032327
Kalaw, George T., PACalifornia Emergency Physicians Med Grp15031 Rinaldi St.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-9631
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1053351346
Providence Holy Cross Medical CenterStaff Roster
Page 46 Printed on Friday, April 13, 2018
Kama, N'Deye F., MDRegal Lakeside Medical Group8510 Balboa Blvd.#150Northridge, CA 91325Tel: (818) 637-2000 x3652Fax: (818) 933-0511
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal MedicineHospitalist
Medicine1770747024
Kansara, Amit C., MD9427 SW Barnes RoadSuite # 595Portland, OR 97225Tel: (503) 216-1150Fax: (503) 216-1154; (503) 216-1021
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1104093665
Karlin, Andrew S., MDFacey Medical Group23803 McBean Parkwaysuite #202Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 579-8461
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPulmonary DiseaseInternal Medicine
Medicine1598783177
Karz, Allen E., MD23861 McBean Pkwy.#C-14Valencia, CA 91355Tel: (661) 259-2233Fax: (661) 259-5962
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInternal Medicine
Medicine1598774184
Kasher, John A., MD201 S. Buena Vista streetSuite #410Burbank, CA 91505Tel: (818) 845-3773Fax: (818) 889-0461
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGastroenterologyInternal Medicine
Medicine1770712663
Kassabian, Carolyn M., MD14901 Rinaldi Street#305Mission Hills, CA 91345Tel: (818) 838-6070Fax: (818) 837-6832
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyDermatology
Medicine1851335152
Providence Holy Cross Medical CenterStaff Roster
Page 47 Printed on Friday, April 13, 2018
Kassabian, Garbis, MD14901 Rinaldi Street, Suite 305Mission Hills, CA 91345Tel: (818) 837-6830Fax: (818) 837-6832
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePulmonary/Critical CarePulmonary DiseaseInternal MedicineMedicine1083692669
Kassabian, Leo, MDCardiovascular Consultants Med. Group16542 Ventura Blvd., Ste # 402Encino, CA 91436Tel: (818) 782-5041Fax: (818) 205-9091
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInternal Medicine
Medicine1184617763
Katerelos, Ari, MDValley Radiotherapy Associates Medical Group, Inc.1500 Rosecrans Ave., Suite 400Manhattan Beach, CA 90266Tel: (310) 335-4065Fax: (310) 335-4098
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalRadiation Oncology
Surgery1861607418
Kaviani, Ashkhan N., PA-C7301 Medical Center DriveSuite 400West Hills, CA 91307Tel: (818) 264-3344Fax: (818) 264-3433
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional AHPPhysician AssistantOrthopedic Surgery
Surgery1720321318
Kawano, Jordan C., MDLakeside Medical Organization, A Medical Group191 S. Buena Vista Street, #400Burbank, CA 91505Tel: (818) 848-0023Fax: (818) 848-3495
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalCardiologyInternal Medicine
Medicine1225353592
Kay, Brian L., DOPathology Associates of Southern California15031 Rinaldi StPathology DepartmentMission Hills, CA 91345Tel: (818) 496-4762Fax: (818) 496-4419
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalPathology
Sugery1396036976
Providence Holy Cross Medical CenterStaff Roster
Page 48 Printed on Friday, April 13, 2018
Kazlauskas, Linas J., MD1500 Rosecrans Avenue, #400Manhattan Beach, CA 90266Tel: (310) 335-4065Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRadiation Oncology
Surgery1124002381
Kedia, Rohit R., DOFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalEndocrinology
Medicine1033418249
Kelly, Thomas J., MDAdvance TeleRadiology6789 Quail Hill Parkway#728Irvine, CA 92603Tel: (888) 225-0628Fax: (888) 225-1271
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyDiagnostic Radiology
Medicine1760421432
Kermani, Reza, MD11550 Indian Hills RoadSuite 310Mission Hills, CA 91345Tel: (818) 898-4900Fax: (818) 639-9262
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveSurgical Critical CareGeneral Surgery
Surgery1295998300
Khan, Muhibb N., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalAnesthesiology
Surgery1447526603
Khosroabadi, Alireza, DPM11273 Laurel Canyon BlvdSuite # 4San Fernando, CA 91340Tel: (818) 408-2800Fax: (818) 408-2452
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1841490620
Providence Holy Cross Medical CenterStaff Roster
Page 49 Printed on Friday, April 13, 2018
Khoukaz, Rania, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1902074453
Kijner, Daniel M., MDCalifornia Emergency Physicians Med Grp15031 Rinaldi St. ER DeptMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1417913518
Kilani, Marwa W., MD21781 Ventura Blvd, Suite 510Woodland Hills, CA 91364Tel: (818) 496-1975Fax: (818) 496-4856
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePalliative CareInternal Medicine
Medicine1437188380
Kim, Danny Y., MDFacey Medical Group - ophthalmology11333 Sepulveda Blvd.Mission Hills, CA 91345Tel: (818) 869-7269Fax: (818) 403-2167
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOphthalmology
Surgery1700076551
Kim, Insoo, MD15211 Vanowen Street, Ste 206Van Nuys, CA 91405Tel: (818) 997-3355Fax: (818) 997-3710
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOrthopedic Surgery
Surgery1386745594
Kim, John Y., DMD, MDPacific Coast Oral and Maxillofacial Surgery11550 Indian Hills RoadSuite 270Mission Hills, CA 91345Tel: (818) 365-5636Fax: (818) 365-5639
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOral and Maxillofacial Surgery
Surgery1154649366
Providence Holy Cross Medical CenterStaff Roster
Page 50 Printed on Friday, April 13, 2018
Kim, Kwan, MD3663 W. 6th Street#209Los Angeles, CA 90020Tel: (213) 365-1020Fax: (213) 384-7722
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePlastic Surgery
Surgery1336241702
Kim, Kyu H., MD15243 Vanowen Street# 300Van Nuys, CA 91405Tel: (818) 786-4910Fax: (818) 786-5512
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1013001379
Kim, Nancy, MDPediatric Cardiology Med. Assoc. of So. Cal.5400 Balboa Blvd.#202Encino, CA 91316Tel: (818) 784-6269Fax: (818) 784-1531
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatric CardiologyPediatrics
Pediatrics1609899145
Kim, Paul H., DO13563 Van Nuys Blvd.Pacoima, CA 91331Tel: (818) 890-5300Fax: (818) 890-0880
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1205845583
Kim, Peter Y., MDFacey Medical Group26357 McBean ParkwaySuite # 300Santa Clarita, CA 91355Tel: (661) 222-2620Fax: (661) 222-2685
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1467477638
Kim, Rhodora E., MD9111 Corbin AvenueNorthridge, CA 91324Tel: (818) 743-5700Fax: (818) 534-0358
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1750309365
Providence Holy Cross Medical CenterStaff Roster
Page 51 Printed on Friday, April 13, 2018
Kim, Robin Y., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1518981059
Kirsten, Markham, MDVirtual Medical Staff2655 Northwinds ParkwayAlpharetta, GA 30009Tel: (877) 732-7089Fax: (404) 751-5297
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTelepsychiatry
Medicine1508944331
Kittur, Ajit M., MDFacey Medical Group25775 McBean Parkway, Suite # 118Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 424-8849
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1316960396
Kogan, Gregory A., DOBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1831356708
Kohan, Sid, MDLakeside Medical Associates8510 Balboa Blvd.,Suite # 150Northridge, CA 91325Tel: (818) 552-6230 Inpatient LineFax: (818) 933-0511
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal MedicineHospitalist
Medicine1881698132
Kojoglanian, Samuel A., MDMender of Hearts24868 Apple Street#103Santa Clarita, CA 91321Tel: (661) 259-1711Fax: (661) 259-1911
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInternal Medicine
Medicine1700879384
Providence Holy Cross Medical CenterStaff Roster
Page 52 Printed on Friday, April 13, 2018
Kolber, Keith A., MDChildren's Hospital Los Angeles Medical GroupChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #34Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatal-Perinatal Medicine
Pediatrics1467520866
Kommareddy, Sumithra, MDTri-Valley Neonatal Medical Group15107 Vanowen St., Neonatology Dept.Van Nuys, CA 91405Tel: (818) 902-2943Fax: (818) 902-7925
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeonatologyNeonatal-Perinatal Medicine
Pediatrics1932211950
Koretz, Alexander, MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1306869573
Kosari, Babak, DPMBabak Kosari DPM Inc.17075 Devonshire St.# 304Northridge, CA 91325Tel: (818) 831-1000Fax: (818) 831-5700
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1639101793
Kossari, Shahram, MD14901 Rinaldi St.# 320Mission Hills, CA 91345Tel: (818) 365-1616Fax: (818) 365-1811
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1255572590
Kouz, Rafid J., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveHematology/Oncology
Medicine1346272994
Providence Holy Cross Medical CenterStaff Roster
Page 53 Printed on Friday, April 13, 2018
Kupferwasser, Leon I., MDThe Heart Medical Group16119 Vanowen St.Van Nuys, CA 91406Tel: (818) 904-6782Fax: (818) 904-5896
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiology - Interventional (SRC)CardiologyInternal MedicineMedicine1316067457
Kurian, Thomas M., MD23823 Valencia Blvd. Ste #115Valencia, CA 91355Tel: (661) 255-5444Fax: (661) 255-8447
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeurology
Medicine1356675573
Kvamme, Corrine, MDCalifornia Emergency Med Grp15031 RinaldiERMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1700049574
Lada, Robert A., MD3831 Piper St. Tower S Suite SLL020Anchorage, AK 99508Tel: (907) 331-3640Fax: (907) 331-3647
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1982667101
Lahiji, Pejman D., MDBuena Vista Anesthesia Medical Group4924 Balboa Blvd.#367Encino, CA 91316Tel: (818) 845-8345Fax: (818) 845-9774
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1750301339
Lakshmanan, Ashwini, MDChildren's Hospital Los Angeles Medical GroupChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatologyPediatrics
Pediatrics1831375880
Providence Holy Cross Medical CenterStaff Roster
Page 54 Printed on Friday, April 13, 2018
Lala, Moinakhtar M., MD18226 Ventura Blvd. Ste #102Tarzana, CA 91356Tel: (818) 905-5904Fax: (310) 967-2140
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInterventional Cardiology
Medicine1396907119
Lalli, John G., MDCalifornia Emergency Physicians (CEP)15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency MedicineInternal Medicine
Medicine1144335233
Lavian, Dana, DPM23501 Cinema Drive# 209Valencia, CA 91355Tel: (661) 254-0795Fax: (661) 254-8762
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1720010200
Leach, Benjamin
Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalOncologyInternal Medicine
Medicine1497026140
Lee (Formerly Kim), Yoonjee K., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 Sepulveda Blvd.,Mission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1790009306
Lee, Brian, MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1265648471
Providence Holy Cross Medical CenterStaff Roster
Page 55 Printed on Friday, April 13, 2018
Lee, James J., MD11550 Indian Hills Road, Suite # 381Mission Hills, CA 91345Tel: (818) 361-0917Fax: (818) 361-1606
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePlastic Surgery
Surgery1184780363
Lee, James S., MD19950 Rinaldi St#300Northridge, CA 91326Tel: (818) 271-2400Fax: (818) 360-4204
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiology - Interventional (SRC)Internal Medicine
Medicine1205008950
Lee, Jeffery, MD11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 365-9531Fax: (818) 898-1723
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1205855848
Lee, Jeffrey J., DPMFacey Medical Group / Facey Medical Foundation - Mission Hills, CAFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1487685939
Lee, Jong C., MD19950 Rinaldi StreetPorter Ranch, CA 91326Tel: (818) 403-2410Fax: (661) 513-2105
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1518973502
Lee, Richard H., MD2020 Zonal AveIRD 220Los Angeles, CA 90033Tel: (323) 409-3536Fax: (323) 226-2710
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyMaternal and Fetal MedicineObstetrics and Gynecology
OB/GYN1922030204
Providence Holy Cross Medical CenterStaff Roster
Page 56 Printed on Friday, April 13, 2018
Lee, Steven L., MDUCLA Pediatric Surgery Assoc10833 LeConte AveBox 709818, Room 72-140 CHSLos Angeles, CA 90095Tel: (310) 206-2429Fax: (310) 206-1120
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatric Surgery
Surgery1467523340
Lekkala, Madhavi, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CAFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeurology
Medicine1992915433
Lemus-Rangel, Rafael, MD1658 West Avenue JLancaster, CA 93534Tel: (661) 942-8855Fax: (972) 616-5118
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalGeneral Surgery
Surgery1609102433
Lensky, Mark M., MDMark Lensky, M.D., Inc.14411 Hamlin StVan Nuys, CA 91401Tel: (818) 994-0616Fax: (818) 994-6579
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInternal Medicine
Medicine1558582866
Leon, Zonia A., MDPremier Pediatrics14901 Rinaldi Street#330Mission Hills, CA 91345Tel: (818) 365-7778Fax: (818) 365-7808
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePediatrics
Pediatrics1114940640
Leong, Frederic J., MD555 Marin StThousand Oaks, CA 91360Tel: (805) 497-7214Fax: (805) 497-0864
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatric CardiologyPediatrics
Pediatrics1801953237
Providence Holy Cross Medical CenterStaff Roster
Page 57 Printed on Friday, April 13, 2018
Leung, John, MD2707 E. Valley BlvdSuite 116West Covina, CA 91792Tel: (626) 581-1000Fax: (626) 581-1007
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1649214198
Levgur-Fields, Hadar, MDNortheast Valley Health Corporation1172 N. Maclay AvenueSan Fernando, CA 91340Tel: (818) 898-1388Fax: (818) 702-9578
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1306847181
Levy, Jennifer J., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1063712594
Levy, Leslie G., DPM23501 Cinema Drive#209Valencia, CA 91355Tel: (661) 254-0795Fax: (661) 254-8762
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1699700518
Levy, Mya E., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CAFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1205132628
Lewis, Daniel J., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA18131 Ventura BlvdSuite #204Tarzana, CA 91356Tel: (818) 466-7700Fax: (818) 938-5552
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1508974718
Providence Holy Cross Medical CenterStaff Roster
Page 58 Printed on Friday, April 13, 2018
Liker, Mark A., MDNeurological Associates of Los Angeles, Inc.25751 McBean Parkway#305Valencia, CA 91355Tel: (661) 799-2542Fax: (661) 253-0248
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeurosurgery
Surgery1407806292
Lim, Ruth S., NP15031 Rinaldi St.Mission Hills, CA 91345Tel: (818) 365-8051Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalSurgery (General Surgery)
Surgery1316220809
Lin, Rose H., MDHealthCare Partners11600 Indian Hills Rd.Suite 200BMission Hills, CA 91345Tel: (818) 827-9950Fax: (818) 827-9951
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEndocrinologyInternal Medicine
Medicine1417975392
Lin, Ting-Yi, MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1699765214
Lin, Wei-Chien M., MDCity of Hope Medical Foundation26357 McBean Pkwy.205Santa Clarita, CA 91355Tel: (661) 799-1999Fax: (661) 951-0686
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGyn OncologyGynecologyObstetrics and GynecologyOB/GYN1437260775
Linehan, Jennifer A., MDJohn Wayne Cancer Institute at PSJHC2200 Santa Monica Blvd.Attn: Fellowship Program OfficeSanta Monica, CA 90404Tel: (310) 998-3989Fax: (310) 582-7185
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1881891042
Providence Holy Cross Medical CenterStaff Roster
Page 59 Printed on Friday, April 13, 2018
Lobo, Bjorn M., MD25751 McBean Parkway #305Valencia, CA 91355Tel: (661) 799-2542Fax: (661) 253-0248
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeurological Surgery
Surgery1275703969
Loksh, Anna, MD2219W. Olive Avenue # 219Burbank, CA 91506Tel: (818) 847-6051Fax: (818) 898-4419
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPathology
Surgery1275735987
Long, Rachel B., MD24035 Newhall Ranch RoadValencia, CA 91354Tel: (661) 291-3444Fax: (661) 291-3456
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveObstetrics and Gynecology
OB/GYN1356535371
Long, Thomas V., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 Sepulveda Blvd.,Mission Hills, CA 91345Tel: (877) 634-3196Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1912924432
Lopez, Victor M., MDFacey Medical Group17909 Soledad Canyon RoadCanyon Country, CA 91351Tel: (661) 250-5225Fax: (661) 250-5290
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1417976051
Lowenkopf, Theodore J., MDProvidence Neurological Specialties MJP9427 SW Barnes Rd #595Protland, OR 97225Tel: (503) 216-1150Fax: (503) 215-7346
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurology
Medicine1629059407
Providence Holy Cross Medical CenterStaff Roster
Page 60 Printed on Friday, April 13, 2018
Lukas Vanderspek, Lauren, MDValley Radiotherapy Associates (Mission Hills)15031 Rinaldi StreetRadiation Oncology DepartmentMission Hills, CA 91345Tel: (818) 496-4410Fax: (818) 496-4758
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRadiation Oncology
Surgery1114150562
Lupo, Michael A., MD501 S. Buena Vista StreetBurbank, CA 91505Tel: (818) 847-3200Fax: (818) 847-3205
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePhysical Medicine and Rehabilitation
Medicine1770541039
Lusher, Frank R., MD15336 Devonshire Street#1Mission Hills, CA 91345Tel: (818) 894-5616Fax: (818) 893-4872
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyDermatology
Medicine1912096280
Lynch, Michael C., MDFacey Medical Group - ophthalmology11333 Sepulveda Blvd.Mission Hills, CA 91345Tel: (818) 869-7269Fax: (818) 403-2167
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOphthalmology
Surgery1467468462
Madhure, Jay B., MD16281 San Fernando Mission BoulevardGranada Hills, CA 91344Tel: (818) 826-2018Fax: (818) 366-7479
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveFamily Practice
Medicine1770518714
Mahabadi, Vahid, MD23928 Lyons Avenue#204Newhall, CA 91321Tel: (661) 222-2300Fax: (661) 222-2342
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEndocrinologyInternal Medicine
Medicine1144412453
Providence Holy Cross Medical CenterStaff Roster
Page 61 Printed on Friday, April 13, 2018
Makarewicz, Kathleen M., MDPathology Associates of Southern CaliforniaPSJMC Pathology Dept.501 S. Buena VistaBurbank, CA 91505Tel: (818) 847-6053Fax: (818) 847-6029
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPathology
Surgery1356335814
Malekmehr, Farshad, MD5000 Van Nuys Blvd.,Suite #200Sherman Oaks, CA 91403Tel: (818) 908-9752Fax: (818) 784-5301
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyThoracic SurgeryVascular Surgery
Surgery1801999776
Mamic, Marko, DOCalifornia Emergency Physicians (CEP)15031 Rinaldi StreetER Dept.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1104197565
Manoukian, Krikor H., MDBurbank Medical Plaza191 S. Buena Vista StSuite #330Burbank, CA 91505Tel: (818) 561-4533Fax: (818) 561-4534
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAllergy and ImmunologyInternal Medicine
Medicine1740519586
Marr, Stephanie T., DOHealthcare Partners Med Grp11600 Indian Hills Rd#200Mission Hills, CA 91345Tel: (818) 838-4535Fax: (818) 838-7517
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalObstetrics and Gynecology
OB/GYN1750726899
Marter, Roscoe L., MDFacey Medical Group23803 McBean Pkwy.Suite # 201Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 288-2010
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1609891142
Providence Holy Cross Medical CenterStaff Roster
Page 62 Printed on Friday, April 13, 2018
Martin, Bhuvan, MDUSC OB/GYN, Inc.1200 N. State StIRD 220Los Angeles, CA 90033Tel: (323) 226-3536Fax: (323) 226-3509
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyMaternal and Fetal MedicineObstetrics and Gynecology
OB/GYN1538344205
Marvi, Michael M., MDProvidence Teleneurology501 S. Buena Vista St.1 - NorthBurbank, CA 91505Tel: (818) 847-6049Fax: (818) 847-4842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyTeleneurologyNeurology
Medicine1205054129
Massa, Michael F., MD2655 Northwinds ParkwayAlpharetta, GA 30009Tel: (877) 732-7089Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTelepsychiatryPsychiatry
Medicine1598825382
Mathew, Manoj K., MD15303 Ventura Blvd #900Sherman Oaks, CA 91403Tel: (818) 639-4333Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1962479816
McCarthy, Danny C., DOP.O. Box53803Irvine, CA 92619Tel: (888) 225-0628Fax: (888) 225-1271
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyTeleRadiology
Medicine1003968660
McClenathan, Bethany M., MD9427 SW Barnes Rd.#595Portland, OR 97225Tel: (503) 216-1150Fax: (503) 215-8585
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1073759841
Providence Holy Cross Medical CenterStaff Roster
Page 63 Printed on Friday, April 13, 2018
McCune, Holly, MDAdvanced TeleRadiology6789 Quail Hill Parkway#728Irvine, CA 92603Tel: (888) 225-0628Fax: (888) 225-1271
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyTeleRadiology
Medicine1588813497
Mehta, Kalyani N., MDRenal Consultants Medical Group10605 Balboa Blvd., #240Granada Hills, CA 91344Tel: (818) 366-4626Fax: (818) 366-4630
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNephrologyInternal Medicine
Medicine1699899724
Melaragno, Albert J., MD10515 Balboa Boulevard# 360Granada Hills, CA 91344Tel: (818) 832-3322Fax: (818) 360-9171
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1336146711
Melkonian, Suzy, MD10630 Sepulveda Blvd. #202Mission Hills,, CA 91345Tel: (747) 999-5690Fax: (747) 999-5060
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyHematologyOncology
Medicine1730188152
Mendes, Marc L., MDCalifornia Emergency Physicians (CEP)15031 Rinaldi StreetER Dept.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveEmergency Medicine
Medicine1093758666
Mendoza, Michael F., PACalifornia Emergency Physicians Med Grp15031 Rinaldi StERMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1720209661
Providence Holy Cross Medical CenterStaff Roster
Page 64 Printed on Friday, April 13, 2018
Menon, Ravi S., MD550 17th Avenue #4-WestSeattle, WA 98122Tel: (206) 320-2208Fax: (206) 320-2451
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurologyVascular NeurologyMedicine1326160177
Meratee, Mohammad M., MD28212 Kelly Johnson Pkwy.#235Valencia, CA 91355Tel: (661) 253-4900Fax: (661) 253-4993
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeurology
Medicine1164641510
Mesbah Oskui, Peyman, MDACE Medical Associates15031 Rinaldi StNorth BuildingMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1154610897
Metz, Maureen E., PA-C
Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional AHPPhysician AssistantNeurosurgery
Surgery1790065142
Michail, James A., MD14860 Roscoe Blvd. Ste. #201Panorama City, CA 91402Tel: (818) 280-9475Fax: (818) 787-1129
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalGeriatric Medicine
Family Medicine1760879217
Miller, David A., MDUSC Care Medical Group Ob/Gyn1200 N. State StreetIRD #220Los Angeles, CA 90033Tel: (323) 226-3306Fax: (323) 226-2710
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyMaternal and Fetal MedicineObstetrics and Gynecology
OB/GYN1417952342
Providence Holy Cross Medical CenterStaff Roster
Page 65 Printed on Friday, April 13, 2018
Mirchandani, Neha, MD14901 Rinaldi Steet, Suite 325Mission Hills, CA 91345Tel: (818) 898-9898Fax: (818) 898-9899
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeurology
Medicine1801156880
Mirman, Julian M., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1679594840
Mirzayan, Nadine K., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1396016218
Miyasaki, Yoko, MDComprehensive Infectious Disease Consultants18370 Burbank Blvd#414Tarzana, CA 91356Tel: (818) 506-3384Fax: (818) 774-2298
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInfectious DiseaseInternal Medicine
Medicine1497845036
Moesch, Dean V., MDAdvanced TeleRadiolgoy6789 Quail Hill Parkway#728Irvine, CA 92603Tel: (888) 225-0628Fax: (888) 225-1271
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyTeleRadiology
Medicine1508819970
Moghimi, Robert B., MDNorth Valley G.I. Consultants10515 Balboa Blvd.# 380Granada Hills, CA 91344Tel: (818) 363-7120Fax: (818) 832-4420
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGastroenterology
Medicine1184679664
Providence Holy Cross Medical CenterStaff Roster
Page 66 Printed on Friday, April 13, 2018
Mohan, Rahul K., MD14541 San Fernando Mission Blvd.Suite #200Mission Hills, CA 91345Tel: (877) 634-3196Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalInternal Medicine
Medicine1942542220
Montes, Joy, MDLakeside Medical Associates8510 Balboa Blvd#150Northridge, CA 91325Tel: (818) 552-6230Fax: (818) 637-2785
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1588808356
Moore, Richard M., MD11550 Indian Hills Rd.#310Mission Hills, CA 91345Tel: (818) 898-4900Fax: (818) 639-9262
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveGeneral SurgeryCritical Care Medicine
Surgery1023241015
Morrow, David L., MDFacey Medical Group27924 Seco Canyon Rd.Santa Clarita, CA 91350Tel: (661) 513-2100Fax: (661) 513-2105
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyFamily Practice
Medicine1063428068
Mortazavi, Martin, MD2100 Lynn Road, Suite # 120Thousand Oaks, CA 91360Tel: (805) 795-7656Fax: (805) 618-1501
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeurosurgery
Surgery1093958852
Moussa, Grace, MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4530Fax: (818) 838-7516
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1306894431
Providence Holy Cross Medical CenterStaff Roster
Page 67 Printed on Friday, April 13, 2018
Movassaghi, Mehran, MDProvidence Saint John's Health Center2121 Santa Monica BlvdCancer CenterSanta Monica, CA 90404Tel: (424) 308-0988Fax: (310) 582-7163
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1154518629
Mower, Robert W., DDS26357 McBean Pkwy.#255Valencia, CA 91355Tel: (661) 255-1515Fax: (661) 255-1661
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOral and Maxillofacial Surgery
Surgery1033256789
Mullin, Patrick M., MDUSC OB/GYN, Inc.2020 Zonal Ave.IRD 220Los Angeles, CA 90033Tel: (323) 409-3306Fax: (323) 226-2710
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyMaternal and Fetal MedicineObstetrics and Gynecology
OB/GYN1255345203
Nagar, Ziva, PhD14901 Rinaldi Street, # 335Mission Hills, CA 91345Tel: (818) 361-7717Fax: (818) 831-7090
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalClinical Psychology
Medicine1114933074
Nagaraja, Mysore R., MD17075 Devonshire St.17075 Devonshire St.#200Northridge, CA 91325Tel: (818) 363-3105Fax: (818) 363-6178
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveGastroenterologyInternal Medicine
Medicine1760451298
Nahapetian, Arby, MD607 Foothill Blvd. #1567La Canada, CA 91011Tel: (818) 409-8026Fax: (818) 484-2180
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInternal MedicineCardiovascular DiseaseMedicine1790997187
Providence Holy Cross Medical CenterStaff Roster
Page 68 Printed on Friday, April 13, 2018
Nahed, M. Reza, MD11550 Indian Hills Rd#301Mission Hills, CA 91345Tel: (818) 365-4585Fax: (818) 365-5265
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePulmonary/Critical CareInternal Medicine
Medicine1043218563
Naidu, Jaganath, MD10515 Balboa Blvd.# 290Granada Hills, CA 91344Tel: (818) 831-8999Fax: (818) 831-8990
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1447283924
Nair, Srikumar P., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1649478272
Nangiana, Jasvinder S., MDProvidence Medical Institute11550 Indian Hills Road #381Mission Hills, CA 91345Tel: (818) 361-0917Fax: (818) 361-1606
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeurosurgery
Surgery1104072545
Nash, Bernadette, PACalifornia Emergency Physicians America15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1356675979
Nasim, Sohail, MD7230 Medical Center Drive#302West Hills, CA 91307Tel: (818) 227-4272Fax: (818) 227-4271
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNephrology
Medicine1174623920
Providence Holy Cross Medical CenterStaff Roster
Page 69 Printed on Friday, April 13, 2018
Nassoura, Zahi E., MDSan Fernando Valley Vascular Group18840 Ventura Blvd.#100ATarzana, CA 91356Tel: (818) 345-6126Fax: (818) 345-5061
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyVascular SurgeryGeneral Surgery
Surgery1417995622
Nathanson, Stephen M., MDFacey Medical Group26357 McBean ParkwaySanta Clarita, CA 91355Tel: (661) 222-2620Fax: (661) 222-2685
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1851310452
Navizadeh, Navid, MD23823 Valencia Blvd., #140Valencia, CA 91355Tel: (661) 290-3337Fax: (661) 253-3756
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1588654693
Nayyar, Kanwal K., MDTri Valley Neurology Medical Assoc.14901 Rinaldi Street#325Mission Hills, CA 91345Tel: (818) 898-9898Fax: (818) 898-9899
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNeurology
Medicine1043238371
Nazarian, Alan, MD16133 Ventura Boulevard#360Encino, CA 91436Tel: (818) 532-8120Fax: (888) 551-0392
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInfectious DiseaseInternal Medicine
Medicine1831126739
Nektal, Julia, DPM11273 Laurel Canyon Blvd#4San Fernando, CA 91340Tel: (818) 408-2800Fax: (818) 408-2452
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalPodiatry
Surgery1356702344
Providence Holy Cross Medical CenterStaff Roster
Page 70 Printed on Friday, April 13, 2018
Nelson, Michael C., MD19950 Rinaldi Street2nd FloorPorter Ranch, CA 91326Tel: (818) 837-5715Fax: (818) 837-5741
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1346254968
Nemeh, Moufid N., MD18250 Roscoe Blvd.#235Northridge, CA 91325Tel: (818) 885-0063Fax: (818) 885-0193
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNephrologyInternal Medicine
Medicine1508923160
Neuman, Thomas, DPM9017 Reseda Blvd.#100Northridge, CA 91324Tel: (818) 885-8400Fax: (818) 885-5765
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1992757603
Nguyen, David H., MDFacey Medical Group23803 McBean Parkway#201Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 288-2000
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1811042344
Nicholas, Courtney J., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1902059934
Nien-Shy, Yih-Dar, MDCity of Hope Medical Foundation44151 15th Street West#101Lancaster, CA 93534Tel: (661) 902-5600Fax: (626) 218-1911
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGeneral Surgery
Surgery1164636262
Providence Holy Cross Medical CenterStaff Roster
Page 71 Printed on Friday, April 13, 2018
Nikjoo, Rabin, MDACE Medical Associates15031 Rinaldi StNorth BuildingMission Hills, CA 91346Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyFamily Practice
Medicine1316085152
Niku, Soheil D., MDUrology Specialist of Southern California14901 Rinaldi Street#205Mission Hills, CA 91345Tel: (818) 365-0259Fax: (818) 365-0827
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1114994274
Noori, Shahab, MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1215039045
Novack, Roger L., MD1245 Wilshire Blvd Suite 380Los Angeles, CA 90017-4886Tel: (213) 483-8810Fax: (213) 975-0235
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOphthalmology
Surgery1104828706
Nowfar-Rad, Mehran, MDFacey Medical Group19950 Rinaldi StreetPorter Ranch, CA 91326Tel: (818) 403-2450Fax: (818) 363-9815
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalDermatology
Medicine1912979048
Nzerem, Chima S., DOBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalAnesthesiology
Surgery1821386848
Providence Holy Cross Medical CenterStaff Roster
Page 72 Printed on Friday, April 13, 2018
Oheb, Jonathan, MDNorth Valley Orthopaedic11550 Indian Hills Rd#241Mission Hills, CA 91345Tel: (818) 361-0136Fax: (818) 365-1259
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveOrthopedic SurgeryHand Surgery
Surgery1003132127
Okon, Nicholas J., DO2900 12 Ave. North #202EBillings, MT 59102Tel: (406) 237-5545Fax: (406) 237-5550
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurology
Medicine1346200524
Olson, Michael S., PA
Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1285908095
On, Roger C., MDLakeside Community Healthcare191 S Buena Vista St#400Burbank, CA 91505Tel: (818) 848-0023Fax: (818) 848-3495
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInternal Medicine
Medicine1255334769
Ordonez, Peggy R., NP23442 Collins StreetWoodland Hills, CA 91367Tel: (818) 888-6375Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalNurse PractitionerNeonatal Nurse Practitioner
Pediatrics1518919737
Osbourne, Audley L., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4524Fax: (818) 838-7565
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalUrology
Surgery1992900062
Providence Holy Cross Medical CenterStaff Roster
Page 73 Printed on Friday, April 13, 2018
Ouzounian, Joseph G., MDUSC Ob/Gyn, Inc.2020 Zonal AvenueIRD Room 220Los Angeles, CA 90033Tel: (323) 409-3536Fax: (323) 226-3509
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyMaternal and Fetal MedicineObstetrics and Gynecology
OB/GYN1265503148
Oveian, Margarita, MDProvidence Teleneurology2701 W. Alameda Ave., #500Burbank, CA 91505Tel: (818) 238-0001Fax: (818) 855-8029
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyTeleneurology
Medicine1144329608
Ovsepyan, Tevan, DOFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 Sepulveda Blvd.,Mission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1669635876
Ozhand, Ali, MD, PhDLakeside Community Health8510 Balboa Blvd.#150Northridge, CA 91325Tel: (818) 552-6230Fax: (818) 637-2785
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1326481698
Ozohan, Mary Lou L., MDValley Radiotherapy Associates (West Hills)7301 Medical Center Drive, #100West Hills, CA 91307Tel: (818) 884-1683Fax: (818) 884-3861
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRadiation Oncology
Surgery1609859412
Padmanabhan, Madras K., MD10515 Balboa Blvd.10515 Balboa Blvd.#290Granada Hills, CA 91344Tel: (818) 832-5777Fax: (818) 832-5779
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiologyInternal Medicine
Medicine1588642516
Providence Holy Cross Medical CenterStaff Roster
Page 74 Printed on Friday, April 13, 2018
Paik, William N., MDAdvanced TeleRadiologyP.O. Box 53803Irvine, CA 92619Tel: (888) 225-0628Fax: (888) 225-1271
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyTeleRadiology
Medicine1265584825
Panagiotis, Nicholas M., MD18370 Burbank Boulevard#507Tarzana, CA 91356Tel: (818) 774-9200Fax: (818) 774-1370
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEndocrinologyInternal Medicine
Medicine1255313458
Paquette, Lisa B., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1831291731
Paranay, Gregory L., MDProfessional Imaging Med. Group15031 Rinaldi StRadiologyMission Hills, CA 91345Tel: (888) 225-0628Fax: (949) 861-9086
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveRadiology
Medicine1659396356
Parihar, Jaspreet S., MDCity of Hope1500 E.Duarte RoadDuarte, CA 91010Tel: (626) 471-9200Fax: (626) 301-8233
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1447563317
Park, Christine L., MDNortheast Valley Health Corporation1172 N. Maclay Ave.San Fernando, CA 91340Tel: (818) 898-1388Fax: (818) 270-9590
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1790786341
Providence Holy Cross Medical CenterStaff Roster
Page 75 Printed on Friday, April 13, 2018
Park, Richard, MDACE Medical Associates15031 Rinaldi StNorth BldgMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1982946323
Parray, Hafeez, MD418 San Fernando Mission Blvd.San Fernando, CA 91340Tel: (818) 365-5661Fax: (818) 792-4544
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1932297710
Parsi, Hooman, MD11480 Brookshire Ave. #309Downey, CA 90241Tel: (562) 869-1201Fax: (562) 869-1281
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
TemporaryInternal MedicineHematologyMedical OncologyMedicine1750689378
Parvinchiha, Amir, MD12737 Glenoaks Blvd. Unit #26Sylmar, CA 91342Tel: (818) 362-1758Fax: (818) 362-1779
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1417262163
Pary, Jennifer K., MD105 W. 8th Ave., Suite 318ESpokane, WA 99204Tel: (509) 474-2894Fax: (509) 474-2895
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1972506814
Patel, Bina G., MD501 S. Buena Vista StreetPSJMC - NICUBurbank, CA 91505Tel: (818) 847-6332Fax: (818) 847-6339
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeonatologyNeonatal-Perinatal Medicine
Pediatrics1750517272
Providence Holy Cross Medical CenterStaff Roster
Page 76 Printed on Friday, April 13, 2018
Patel, Bipin D., MD101 S. First Street#1000Burbank, CA 91502Tel: (818) 845-8345Fax: (818) 845-9774
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1407078298
Patel, Dharmesh A., MD15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 496-4532Fax: (818) 496-4451
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRadiology
Medicine1407099088
Patel, Kalpesh, MD17075 Devonshire Streeet # 303Northridge, CA 91325Tel: (818) 488-1840Fax: (818) 975-5446
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNephrology
Medicine1902099146
Patel, Mahendra N., MDNorth Valley GI Consultants10515 Balboa Blvd.#380Granada Hills, CA 91344Tel: (818) 363-7120Fax: (818) 832-4420
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveGastroenterologyInternal Medicine
Medicine1801833561
Patel, Meenakshi R., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4530Fax: (818) 838-7516
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalPediatrics
Pediatrics1679580005
Patrus, Saber J., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 Sepulveda Blvd.,Mission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1255587580
Providence Holy Cross Medical CenterStaff Roster
Page 77 Printed on Friday, April 13, 2018
Patterson Judd, Rebecca A., MDFacey Medical Group26357 McBean ParkwayValencia, CA 91355Tel: (661) 222-2658Fax: (661) 222-2663
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyFamily Practice
Medicine1801042130
Patterson, Scott W., MDFacey Medical Group23803 McBean Parkway#202Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 255-5626
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGeneral Surgery
Surgery1679589691
Paz, Isaac B., MDCity of Hope Medical Group1500 E. Duarte Rd.Duarte, CA 91010Tel: (626) 359-8111Fax: (626) 218-5310
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesySurgical OncologyGeneral Surgery
Surgery1417050063
Peress, Leo Y., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4535Fax: (818) 838-7517
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveObstetrics and Gynecology
OB/GYN1932280591
Phung, Thien P., MDFacey Medical Group15451 San Fernando Mission BlvdMission Hills, CA 91345Tel: (877) 634-3196Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalInternal Medicine
Medicine1497172670
Pirzada, Mustafa H., MDVirtual Medical Staff2655 Northwinds ParkwayAlpharetta, GA 30009Tel: (877) 732-7089Fax: (404) 751-5297
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTelepsychiatryPsychiatry
Medicine1306070149
Providence Holy Cross Medical CenterStaff Roster
Page 78 Printed on Friday, April 13, 2018
Player, Heather, MDCity of Hope1500 E.Duarte RoadDuarte, CA 91010Tel: (626) 471-9200Fax: (626) 301-8233
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalSurgical Oncology
Surgery1023302973
Plotkin, Elliot L., DPM14901 Rinaldi StreetSuite 315Mission Hills, CA 91345Tel: (818) 365-8553Fax: (818) 365-5763
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1386664084
Potruch, Michael L., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4535Fax: (818) 838-7517
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1013977768
Poulose, Jacob, MD8349 Reseda Blvd, Suite GNorthridge, CA 91324Tel: (818) 886-5827Fax: (818) 775-9351
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNephrologyInternal Medicine
Medicine1578723508
Pousson, Gregory K., MDCalifornia Emergency Physicians Med Grp15031 Rinaldi Street - Emergency Dept.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1801837604
Prisco, Douglas, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CAFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePulmonary/Critical Care
Medicine1154537058
Providence Holy Cross Medical CenterStaff Roster
Page 79 Printed on Friday, April 13, 2018
Pryor, Ellsworth P., MDValley Infectious Diseases Med. Group23928 Lyons Ave.#208Newhall, CA 91321Tel: (661) 255-8544Fax: (661) 255-9964
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInfectious DiseaseInternal Medicine
Medicine1952344988
Qozi-Habash, Tedmur, MDLakeside Medical Associates8510 Balboa Blvd#150Northridge, CA 91325-5810Tel: (818) 637-2000Fax: (818) 365-4524
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveFamily Practice
Medicine1710978135
Quach, Quynh T., DOBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1023046422
Quan, Harold E., MD23928 Lyons Ave.#101Newhall, CA 91321Tel: (661) 255-8320Fax: (661) 255-0338
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInternal Medicine
Medicine1033220256
Quick, Evan C., PA-CCalifornia Emergency Physicians (CEP)15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1912384181
Quinonez, Rafael E., MD11550 Indian Hills Rd.# 280Mission Hills, CA 91345Tel: (818) 361-5069Fax: (818) 837-3411
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveOtolaryngology
Surgery1902091309
Providence Holy Cross Medical CenterStaff Roster
Page 80 Printed on Friday, April 13, 2018
Raab, Elisabeth L., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1356432256
Rabbani, Amir B., MDUCLA Santa Clarita23861 McBean PkwySuite E-24Valencia, CA 91355Tel: (661) 753-5464Fax: (661) 753-5465
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInternal Medicine
Medicine1023130242
Rafidi, Fuad F., MDSan Fernando Valley Vascular Group18840 Ventura Blvd.#100ATarzana, CA 91356Tel: (818) 345-6126Fax: (818) 345-5061
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyVascular SurgeryGeneral Surgery
Surgery1174639074
Raisdana-Roshan, Aisan, MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalAnesthesiology
Surgery1710220777
Rajan, Sibu, PARenal Consultants Medical Group10605 Balboa Blvd., #240Granada Hills, CA 91344Tel: (818) 366-4626Fax: (818) 366-4630
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantNephrology
Medicine1114112596
Rajan, Vigna, MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1881759207
Providence Holy Cross Medical CenterStaff Roster
Page 81 Printed on Friday, April 13, 2018
Rana, Sumit H., MD7301 Medical Center Drive, #400West Hills, CA 91307Tel: (818) 264-3344Fax: (818) 264-3433
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalOrthopedic Surgery
Surgery1699925768
Rangappa, Sunil, MD10515 Balboa Blvd, Ste # 375Granada Hills, CA 91344Tel: (818) 305-5671Fax: (818) 305-5672
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiology
Medicine1730392887
Rauchman, Steven H., MDNorth Valley Eye Med. Grp.11550 Indian Hills Road#341Mission Hills, CA 91345Tel: (818) 365-0606Fax: (818) 898-0205
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOphthalmology
Surgery1497707384
Razeghi, Mehdi S., MDLakeside Medical Associates8510 Balboa Blvd.#150Northridge, CA 91325Tel: (818) 552-6230Fax: (818) 637-2785
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal MedicineHospitalist
Medicine1063454510
Reddy, Muni N., MDSimi/San Fernando Valley Urology Assoc.14901 Rinaldi Street#205Mission Hills, CA 91345Tel: (818) 365-0259Fax: (818) 365-0827
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1295705606
Reddy, Shashi K., MDSimi/San Fernando Valley Urology Ass.14901 Rinaldi Street#205Mission Hills, CA 91345Tel: (818) 365-0259Fax: (818) 365-0827
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1588632335
Providence Holy Cross Medical CenterStaff Roster
Page 82 Printed on Friday, April 13, 2018
Richman, Peter S., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CAFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 869-7267Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveGeneral Surgery
Surgery1669488698
Riechmann III, Robert E., MDRegal Medical Group8510 Balboa Blvd#150Northridge, CA 91325Tel: (818) 552-6230Fax: (818) 933-0511
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1639145014
Rivera, Claudio A., MD
Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalGastroenterology
Medicine1144594045
Robertson, Robert, MD17075 Devonshire St.Northridge, CA 91325Tel: (818) 366-2977Fax: (818) 360-3533
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePulmonary DiseaseInternal Medicine
Medicine1497778385
Rodriguez, Carlos S., MD14901 Rinaldi St202Mission Hills, CA 91345Tel: (818) 361-7358Fax: (818) 361-0403
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1861434813
Rogal, Richard A., PhD450 N. Bedford Dr.#205Beverly Hills, CA 90210Tel: (310) 275-1515Fax: (818) 789-8817
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalClinical Psychology
Medicine1063491033
Providence Holy Cross Medical CenterStaff Roster
Page 83 Printed on Friday, April 13, 2018
Rontal, Andrew D., MD5050 NE Hoyt#315Portland, OR 97213Tel: (503) 215-8580Fax: (503) 215-8585
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1063657328
Ross, Andrew G., MDACE Medical Associates15031 Rinaldi StNORTH BLDGMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1932543998
Roth, Bradley J., MD11550 Indian Hills Rd.# 310Mission Hills, CA 91345Tel: (818) 898-4900Fax: (818) 898-4990
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveSurgical Critical CareGeneral Surgery
Surgery1699709048
Roth, Robert H., MDFacey Medical Group23803 McBean ParkwaySte # 101Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 579-8459
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOrthopedic Surgery
Surgery1609971027
Rubaum, Lad E., MD14860 Roscoe Boulevard#305Panorama City, CA 91402Tel: (818) 901-1535Fax: (818) 901-0046
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOtolaryngology
Surgery1003907387
Ruderman, Jeanne W., MD18321 Clark Streetc/o NICUTarzana, CA 91356Tel: (818) 708-5570Fax: (818) 708-5266
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatologyPediatrics
Pediatrics1407804289
Providence Holy Cross Medical CenterStaff Roster
Page 84 Printed on Friday, April 13, 2018
Russo, Fredrick M., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CAFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1457370074
Sadeghani, Khosro, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CAFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1871524702
Sadeghi, Hamid, MDCalifornia Kidney Medical Group14860 Roscoe Boulevard#303Panorama City, CA 91402Tel: (818) 901-9906Fax: (818) 901-9849
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNephrologyInternal Medicine
Medicine1184624785
Sadeghi, Neda, MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalAnesthesiology
Surgery1497012272
Sadra, Maher H., MDFacey Medical Group23803 McBean Parkway#202Santa Clarita, CA 91355Tel: (661) 481-2400Fax: (661) 255-5626
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGeneral Surgery
Surgery1205861879
Sadrpour, Shervin, MD
Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalCardiology
Medicine1821287509
Providence Holy Cross Medical CenterStaff Roster
Page 85 Printed on Friday, April 13, 2018
Sakellariou, Nicholas G., MDBuena Vista Anesthesia Medical Group, Inc.2923 Bradley Street#120Pasadena, CA 91107Tel: (818) 845-8345Fax: (818) 845-9774
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1639190820
Saleh, Jacob, MD18370 Burbank Boulevard#714Tarzana, CA 91356Tel: (818) 996-6100Fax: (818) 668-8323
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePlastic Surgery
Surgery1417051079
Samaan, Rodney, MD14901 Rinaldi StreetSuite #335Mission Hills, CA 91345Tel: (818) 906-4711Fax: (877) 991-4121
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiology
Medicine1578776720
Samadi, Albert A., MDFacey Medical Group23803 McBean Parkway#202Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 579-8455
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1619952637
Sampson, Tomoko R., MDProvidence Health & Services5050 NE Hoyt., #315Portland, OR 97225Tel: (503) 215-8580Fax: (503) 216-1038
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1346446622
Samuel, Christojohn, MD19950 Rinaldi Street#101DPorter Ranch, CA 91326Tel: (818) 365-1668Fax: (818) 365-1189
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGeneral Surgery
Surgery1134129828
Providence Holy Cross Medical CenterStaff Roster
Page 86 Printed on Friday, April 13, 2018
Sanani, Shamel, MDCity of Hope Foundation15031 Rinaldi StreetMission HIlls,, CA 91345Tel: (818) 660-4700Fax: (818) 436-9575
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveHematology/OncologyInternal Medicine
Medicine1174522585
Sanchez, Ezequiel, PA-C15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalFamily Medicine
Medicine1649577842
Sanghvi, Manisha V., MDPremier Pediatrics14901 Rinaldi Street#330Mission Hills, CA 91345Tel: (818) 365-7778Fax: (818) 365-7808
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePediatrics
Pediatrics1891714838
Sani, Sasan, MD MS17075 Devonshire Street, #205Northridge, CA 91325Tel: (818) 366-2977Fax: (818) 360-3533
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPulmonary/Critical CarePulmonary DiseaseInternal MedicineMedicine1760702179
Sapkota, Biggya L., MDProvidence Neurological Specialties MJP9427 SW Barnes Rd #595Portland, OR 97225Tel: (503) 216-1150Fax: (503) 215-7346
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1306006135
Sarkissian, Hasmik B., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1699796888
Providence Holy Cross Medical CenterStaff Roster
Page 87 Printed on Friday, April 13, 2018
Saroa, Charanjit, MD23928 Lyons Ave.#203Newhall, CA 91321Tel: (661) 254-7216Fax: (661) 254-4830
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPulmonary DiseaseInternal Medicine
Medicine1720089469
Sayani, Shohreh, DPMFacey Medical Group23803 McBean PrkwyValencia, CA 91355Tel: (661) 481-2400Fax: (661) 424-8823
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1013187038
Schmidt, Bradley A., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1558332411
Schoellhammer, Hans F., MD15031 Rinaldi StreetCancer CenterMission Hills, CA 91345Tel: (818) 660-4700Fax: (818) 837-1987
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesySurgical OncologyGeneral Surgery
Surgery1861684938
Sepanian, Ruth, MDFacey Medical Group27924 Seco Canyon RdSanta Clarita, CA 91350Tel: (661) 513-2100Fax: (661) 513-2132
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalPediatrics
Pediatrics1285038893
Sevidal, Jocelyn L., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4530Fax: (818) 838-7516
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1962422576
Providence Holy Cross Medical CenterStaff Roster
Page 88 Printed on Friday, April 13, 2018
Shabnam, Shiva N., MDACE Medical Associates15031 Rinaldi StNorth BldgMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1679802037
Shabtai, Michael, MD17075 Devonshire Street# 107Northridge, CA 91325Tel: (818) 435-4789Fax: (818) 363-5454
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPhysical Medicine and Rehabilitation
Medicine1942217021
Shah, Anand, MD647 W. Avenue QPalmdale, CA 93551Tel: (661) 949-8643Fax: (661) 265-0864
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOrthopedic Surgery
Surgery1700087582
Shah, Kayur H., MDFacey Medical Group - ophthalmology11333 Sepulveda Blvd.Mission Hills, CA 91345Tel: (818) 869-7269Fax: (818) 403-2167
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOphthalmology
Surgery1215943253
Shah, Mona A., MDNortheast Valley Health Corporation23763 Valencia Blvd.Valencia, CA 91355Tel: (661) 287-1551Fax: (661) 799-2952
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1093716607
Shah, Parag A., MD11550 Indian Hills Road11550 Indian Hills Road#371Mission Hills, CA 91345Tel: (818) 365-1194Fax: (818) 898-3835
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNephrologyInternal Medicine
Medicine1225020886
Providence Holy Cross Medical CenterStaff Roster
Page 89 Printed on Friday, April 13, 2018
Shah, Sarthi, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1003173071
Shamji, Munaf A., MD16119 Vanowen StreetVan Nuys, CA 91406Tel: (818) 904-6782Fax: (818) 904-5896
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiology - Interventional (SRC)Internal MedicineCardiovascular DiseaseMedicine1174587224
Sharif-Afshar, Ali-Reza, MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4524Fax: (818) 838-7565
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalUrology
Surgery1619315108
Sharon, Marius, MD
Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalCardiology
Medicine1750315800
Shaw, Laurence D., MDTri-Valley Neonatal Medical Group15107 Vanowen StreetNICUVan Nuys, CA 91405Tel: (818) 902-2943Fax: (818) 902-7925
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNeonatologyPediatrics
Pediatrics1447342332
Shay, Jane M., MD4650 Sunset BlvdMS 31Los Angeles, CA 90027Tel: (323) 361-5939Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1962601575
Providence Holy Cross Medical CenterStaff Roster
Page 90 Printed on Friday, April 13, 2018
Shekherdimian, Shant, MDUCLA Pediatric Surgery Assoc.10833 LeConte AveBox 709818Los Angeles, CA 90095Tel: (310) 206-2429Fax: (310) 206-1120
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatric Surgery
Surgery1063610251
Shelub, Aaron M., MDComprehensive Infectious Disease Consultants18370 Burbank BlvdSuite 414Tarzana, CA 91356Tel: (818) 674-4377Fax: (818) 774-2298
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInfectious DiseaseInternal Medicine
Medicine1124103619
Shenkman, Heather J., MD18663 Ventura Blvd. Ste #202Tarzana, CA 91356Tel: (818) 938-9505Fax: (818) 938-9513
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiologyInterventional CardiologyInternal MedicineMedicine1215918800
Shepherd, Jennifer L., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-5939Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1811208556
Sherfey, Justin, DO23838 Valencia Blvd. Suite 260Valencia, CA 91355Tel: (661) 705-5100Fax: (661) 705-5101
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOrthopedic Surgery
Surgery1689786873
Sherman, Sarah M., DOVirtual Medical Staff2655 Northwinds ParkwayAlpharetta, GA 30009Tel: (877) 732-7089Fax: (404) 751-5297
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTelepsychiatryPsychiatry
Medicine1154614485
Providence Holy Cross Medical CenterStaff Roster
Page 91 Printed on Friday, April 13, 2018
Sheth, Atul K., MDVirtual Medical Staff2655 Northwinds ParkwayAlpharetta, GA 30009Tel: (877) 732-7089Fax: (404) 751-5297
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTelepsychiatry
Medicine1942392212
Sheu, Yeong An, MD4314 W. Victory Blvd.Burbank, CA 91505Tel: (626) 289-5688Fax: (626) 289-5686
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGastroenterologyInternal Medicine
Medicine1700865177
Shih, Henry H., MD15031 Rinaldi StreetRadiology Dept.Mission Hills, CA 91345Tel: (818) 496-4530Fax: (818) 496-4451
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveRadiology
Medicine1285659870
Shirzad, Pedram, DOHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4500Fax: (818) 838-7570
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyFamily Practice
Medicine1164458816
Shoham, Steven C., MD10515 Balboa Boulevard#360Granada Hills, CA 91344Tel: (818) 832-3322Fax: (818) 360-9171
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1841290400
Shukhman, Jeffrey, DOFacey Medical Group / Facey Medical Foundation - Mission Hills, CA18131 Ventura Blvd.Suite #204Tarzana, CA 91356Tel: (818) 466-7700Fax: (818) 938-5552
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1447593660
Providence Holy Cross Medical CenterStaff Roster
Page 92 Printed on Friday, April 13, 2018
Siddiqi, Saif H., MDAdvanced TeleRadiologyP.O. Box 53803Irvine, CA 92619Tel: (888) 225-0628Fax: (888) 225-1271
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyTeleRadiologyDiagnostic Radiology
Medicine1376579433
Siddiqui, Pervez A., MD6789 Quail Hill Pkwy #728Irvine, CA 92603Tel: (888) 225-0628Fax: (888) 225-1271
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
SuspendedDiagnostic Radiology
Medicine1477533396
Simonds, Mark F., MDFacey Medical Group26357 Mc Bean PrkwyValencia, CA 91355Tel: (661) 222-2690Fax: (661) 222-2677
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPsychiatry
Medicine1124244991
Simonian, Sharis M., MD530 South Lake Ave. #848Pasadena, CA 91101Tel: (818) 523-2271Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1538485313
Singh, Balbir, MD6740 Vesper Avenue6740 Vesper Avenue# 102Van Nuys, CA 91405Tel: (818) 988-2190Fax: (818) 988-2170
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNephrologyInternal Medicine
Medicine1114013927
Singh, Hitasha, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CAFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 869-7267Fax: (818) 403-2160
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRheumatology
Medicine1508189143
Providence Holy Cross Medical CenterStaff Roster
Page 93 Printed on Friday, April 13, 2018
Singh, Malika, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CAFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEndocrinology
Medicine1386878445
Singh, Vikash K., MD15031 Rinaldi St.RadiologyMission Hills, CA 91345Tel: (818) 496-4530Fax: (818) 496-4451
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyDiagnostic Radiology
Medicine1932549391
Singhal, Anu, MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1144419961
Sinha, Abhishek, MD16542 Ventura Blvd, Suite 402Encino, CA 91436Tel: (818) 782-5041Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiology - Interventional (SRC)Interventional Cardiology
Medicine1902971567
Slavov, Carmen S., MDLakeside Medical Associates14901 Rinaldi St#200Mission Hills, CA 91345Tel: (818) 365-8553Fax: (818) 365-4524
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal MedicineNephrology
Medicine1043205909
Smyth-Medina, Robert J., MDNorth Valley Eye Med. Grp.11550 Indian Hills Rd.#341Mission Hills, CA 91345Tel: (818) 365-0606Fax: (818) 898-0205
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOphthalmology
Surgery1073565560
Providence Holy Cross Medical CenterStaff Roster
Page 94 Printed on Friday, April 13, 2018
Solarte, David, MDGlendale Memorial Hospital1420 South Central AvenueAttention: David Solarte, MDGlendale, CA 91204Tel: (818) 409-7700Fax: (818) 502-4523
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeonatologyNeonatal-Perinatal MedicinePediatricsPediatrics1538222401
Solomon, Borna, MDACE Med Associates15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 305-2542Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1124300082
Soltero, Michael J., MDSoltero & Yasuda Associates18350 Roscoe Boulevard#201Northridge, CA 91325Tel: (818) 993-4471Fax: (818) 993-7565
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiothoracic SurgeryThoracic SurgeryVascular SurgerySurgery1437180023
Songster, Giuliana S., MDUSC Care Medical Group1200 N. State StIRD 220Los Angeles, CA 90033Tel: (323) 409-3306Fax: (323) 226-3509
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyMaternal and Fetal MedicineObstetrics and Gynecology
OB/GYN1518962513
Sotiropoulos, Georgia, MDCalifornia Emergency Med Grp15031 RinaldiERMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1114900255
Souferzadeh, Behzad, DO4835 Van Nuys Blvd.Suite 109Sherman Oaks, CA 91403Tel: (818) 905-9586Fax: (818) 905-0130
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyFamily PracticeHospitalist
Medicine1851694988
Providence Holy Cross Medical CenterStaff Roster
Page 95 Printed on Friday, April 13, 2018
Soumah, Nbalia M., DOFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 869-7256Fax: (818) 869-7133
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1679529093
Spooler, Justin C., MD11550 Indian Hills Rd.#381Mission Hills, CA 91345Tel: (818) 496-7581Fax: (818) 361-1606
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNeurosurgery
Surgery1962619924
Sreepathi, Sukshma R., MDTri-Valley Neonatal Medical Group15107 Vanowen StreetNICUVan Nuys, CA 91405Tel: (818) 902-2943Fax: (818) 902-7925
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveNeonatologyPediatrics
Pediatrics1073614301
Stavroudis, Theodora A., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1457407926
Stepanian, Sevan, MD23803 McBean Parkway, #202Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 579-8455
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1790941029
Stern, Debra J., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1255325312
Providence Holy Cross Medical CenterStaff Roster
Page 96 Printed on Friday, April 13, 2018
Sterry, Linda G., DOACE Med Associates15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1629070198
Strazzeri, James C., MD11550 Indian Hills Rd#300Mission Hills, CA 91345Tel: (818) 898-1771Fax: (818) 898-0866
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveOrthopedic Surgery
Surgery1568467595
Stresino, Althea C., MDNortheast Valley Health Corporation12756 Van NuysPacoima, CA 91331Tel: (818) 896-0531Fax: (818) 834-6781
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1134226558
Su, Hsiang-Fen F., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-6300Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatologyPediatrics
Pediatrics1154384873
Sudan, Nimit, MD27235 Tourney Road, Suite #2400Valencia, CA 91355Tel: (667) 255-5350Fax: (661) 255-9907
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalHematology and Medical OncologyHematologyInternal MedicineMedicine1437199924
Sung, Jeff D., MDCalifornia Emergency Physicians Med Grp15031 Rinaldi St.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveEmergency Medicine
Medicine1528019304
Providence Holy Cross Medical CenterStaff Roster
Page 97 Printed on Friday, April 13, 2018
Suryadevara, Sourabh, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 Sepulveda Blvd.,Mission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1043505969
Suthipinijtham, Pharnuk, DOFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 Sepulveda Blvd.,Mission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1548443054
Taback, Steven M., MDConsultants for Lung Diseases201 S. Buena Vista St.#440Burbank, CA 91505Tel: (818) 842-4819Fax: (818) 842-2086
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPulmonary DiseaseInternal MedicineHospitalistMedicine1225004021
Tabassomi, Mostafa, MD23838 Valencia Blvd. Unit 304Valencia, CA 91355Tel: (661) 430-9030Fax: (661) 430-9020
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPulmonary/Critical Care
Medicine1003042342
Tadayon Nejad, Reza, MDVirtual Medical Staff2655 Northwinds ParkwayAlpharetta, GA 30009Tel: (877) 732-7089Fax: (404) 751-5297
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTelepsychiatryPsychiatry
Medicine1326329012
Tadros, Emad G., MDVirtual Medical Staff2655 Northwinds ParkwayAlpharetta, GA 30009Tel: (877) 732-7089Fax: (404) 751-5297
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTelepsychiatryPsychiatry
Medicine1487696878
Providence Holy Cross Medical CenterStaff Roster
Page 98 Printed on Friday, April 13, 2018
Tafti, Mona A., MD6789 Quail Hill Pkwy #728Irvine, CA 92603Tel: (888) 225-0628Fax: (888) 225-1271
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyTeleRadiology
Medicine1689807992
Taftian, David, DOFacey Medical Group23803 Mc Bean Prkwy#202Valencia, CA 91355Tel: (661) 481-2400Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalPain Management
Medicine1376823153
Tam, Kenneth K., MDCardiovascular Consultants Med. Group14901 Rinaldi Street#110Mission Hills, CA 91345Tel: (818) 365-1339Fax: (818) 898-4301
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiology
Medicine1821081423
Tamashiro, Victor G., MDAll Valley Pediatrics, Inc.14901 Rinaldi St.#300Mission Hills, CA 91345Tel: (818) 365-7783Fax: (818) 365-2193
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1952400715
Tan, Kok C., MD
Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalRadiology
Medicine1891974283
Tang, May Y., MDFacey Medical Group17909 Soledad CanyonCanyon Country, CA 91387Tel: (661) 250-5225Fax: (661) 250-5290
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1740279454
Providence Holy Cross Medical CenterStaff Roster
Page 99 Printed on Friday, April 13, 2018
Tang, Sujie, MD4940 Van Nuys Blvd, Ste 207Sherman oaks, CA, CA 91403Tel: (818) 616-3998Fax: (818) 688-0138
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveHematology/Oncology
Medicine1134302409
Tao, May L., MDValley Radiotherapy Associates Medical Group, Inc.1500 Rosecrans Ave., Suite 400Manhattan Beach, CA 90266Tel: (310) 335-4065Fax: (310) 335-4098
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalRadiation Oncology
Surgery1144204249
Tarpley, Jason W., MDPSJHC Stroke CenterPSJHC Stroke Center2121 Santa Monica BlvdSanta Monica, CA 90404Tel: (310) 829-8916Fax: (310) 315-6155
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeurology
Medicine1871812495
Tatevossian, Raymond G., MDComprehensive Pain Physicians (CPP)201 South Buena Vista StreetSuite 238Burbank, CA 91505Tel: (818) 325-2088Fax: (818) 325-2096
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiologyPain Medicine
Surgery1184746968
Taylor, Mehul, MD647 W. Avenue QPalmdale, CA 93501Tel: (661) 949-8643Fax: (661) 265-0864
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyOrthopedic Surgery
Surgery1205037561
Tcharfas, Olga, MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1639190887
Providence Holy Cross Medical CenterStaff Roster
Page 100 Printed on Friday, April 13, 2018
Tebi, Sina, MD23928 Lyons Avenue204Newhall, CA 91321Tel: (661) 222-2300Fax: (661) 222-2342
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEndocrinologyInternal Medicine
Medicine1437380789
Teitelbaum, George P., MDPSJMC Neurovascular Center501 S. Buena Vista StreetBurbank, CA 91505Tel: (818) 847-4835Fax: (818) 847-4842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInterventional NeuroradiologyRadiology
Medicine1982645602
Teng, Shendee, MDRadiology15031 Rinaldi St.RadiologyMission Hills, CA 91345Tel: (818) 496-4530Fax: (818) 496-4451
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveRadiology
Medicine1164563284
Tesoriero, Linda J., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1831280882
Thompson, Robert E., MD17075 Devonshire St.# 205Northridge, CA 91325Tel: (818) 368-3250Fax: (818) 363-9646
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePulmonary DiseaseInternal Medicine
Medicine1982675666
Thompson, Ronald W., MDValley Radiotherapy Associates Medical Group, Inc.1500 Rosecrans Ave., Suite 400Manhattan Beach, CA 90266Tel: (310) 335-4065Fax: (310) 335-4098
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRadiation OncologyRadiation Therapy
Surgery1427033646
Providence Holy Cross Medical CenterStaff Roster
Page 101 Printed on Friday, April 13, 2018
Tilkian, Ara, MDCardiovascular Consultants Med. Group14901 Rinaldi StreetSte. 110Mission Hills, CA 91345Tel: (818) 365-1339Fax: (818) 898-4301
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiologyInternal Medicine
Medicine1427041060
Titcher, Robert N., MDSylmar Medical Center14124 Foothill Blvd.#100Sylmar, CA 91342Tel: (818) 367-1012Fax: (818) 367-7570
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1083704902
Tons, Judith, RNFA15031 Rinaldi StORMission Hills, CA 91346Tel: (818) 496-4664Fax: (818) 496-4650
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalRNFA
Surgery1013108612
Towery, Chris N., PAFaces Cosmetic Laser Center23206 Lyons Ave.# 104Santa Clarita, CA 91321Tel: (661) 254-7400Fax: (661) 254-7474
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantDermatology
Medicine1083892236
Tran, Gene L., DO23803 McBean Parkway, #202Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 255-5626
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeurology
Medicine1003094046
Tran, Paul, MD23823 Valencia Blvd.,Suite # 220Valencia, CA 91355Tel: (661) 253-2211Fax: (661) 253-0016
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPlastic Surgery
Surgery1053572396
Providence Holy Cross Medical CenterStaff Roster
Page 102 Printed on Friday, April 13, 2018
Trisal, Vijay, MDCity of Hope Medical FoundationCancer Center15301 Rinaldi StMission Hills, CA 91345Tel: (818) 660-4700Fax: (818) 837-1987
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesySurgical Oncology
Surgery1134225683
Tsai, Jeffrey, MDCalifornia Emergency Physicians Med Grp15031 Rinaldi StERMission Hills, CA 91345Tel: (818) 496-1270Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1528003779
Tsakonas, John S., MDCardiovascular Consultants Med. Group16542 Ventura Blvd., Ste # 402Encino, CA 91436Tel: (818) 782-5041Fax: (818) 205-9091
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyInternal Medicine
Medicine1851384499
Tsang, Janet C., MDLakeside Community Healthcare191 S Buena Vista St#400Burbank, CA 91505Tel: (818) 848-0023Fax: (818) 848-3495
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalCardiology
Medicine1306038187
Tsunoda, Deborah M., ACNP15031 Rinaldi StreetCath LabMission Hills, CA 91345Tel: (818) 496-4465Fax: (818) 496-4316
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalNurse PractitionerCardiology
Medicine1043318496
Tung, Natalie N., MD DDS11550 Indian Hills Road#270Mission Hills, CA 91345Tel: (818) 365-5636Fax: (818) 365-5639
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalOral and Maxillofacial Surgery
Surgery1992954275
Providence Holy Cross Medical CenterStaff Roster
Page 103 Printed on Friday, April 13, 2018
Tuso, Nicholas J., MDFacey Medical Group23803 McBean Pkwy.#201Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 288-2010
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1881623676
Uaje, Michelle B., MD23823 Valencia Blvd.#140Valencia, CA 91355Tel: (661) 290-3337Fax: (661) 253-3756
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1659427649
Vahdat, Arash, MDArash Vahdat, MD, Inc.18370 Burbank Blvd., Suite 504Tarzana, CA 91356Tel: (818) 665-2065Fax: (818) 609-0100
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiology - Interventional (SRC)CardiologyInternal MedicineMedicine1225134232
Vahidi, Kiarash, MD15031 Rinaldi StRadiologyMission Hills, CA 91345Tel: (818) 496-4532Fax: (818) 496-4451
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveRadiologyDiagnostic Radiology
Medicine1639311731
Valdez, Jessica M., PA15031 Rinaldi StreetEmergency RoomMission Hills, CA 91346Tel: (818) 365-8051Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalPhysician AssistantEmergency Medicine
Medicine1417283508
Valenzuela, Lilibeth, RNFA15031 Rinaldi StreetAttn: Surgery DepartmentMission Hills, CA 91345Tel: Fax:
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalRNFA
Surgery1063879013
Providence Holy Cross Medical CenterStaff Roster
Page 104 Printed on Friday, April 13, 2018
Van Gelder, Howard J., MDFacey Medical Group23803 McBean PkwySuite 202Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 579-8461
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyRheumatologyInternal Medicine
Medicine1932343829
Van Hirtum-Das, Michele M., MD501 W. Glenoaks Blvd#705Glendale, CA 91202Tel: (818) 788-7857Fax: (818) 788-7857
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatric NeurologyNeurologyPsychiatryPediatrics1972605772
Vanderbilt, Douglas L., MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd., MS 31Los Angeles, CA 90027Tel: (323) 361-2142Fax: (323) 361-1310
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1457340291
Vanderhal, Andre L., MD10251 Cresta DriveLos Angeles, CA 90064Tel: (310) 600-1807Fax: (310) 815-8919
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeonatologyPediatrics
Pediatrics1396773719
Vangala, Nivruthi R., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatrics
Pediatrics1326282328
Vardanyan, Marina, MD, PhDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalAnesthesiology
Surgery1861768202
Providence Holy Cross Medical CenterStaff Roster
Page 105 Printed on Friday, April 13, 2018
Vartivarian, Zareh H., MD7320 Woodlake#220West Hills, CA 91307Tel: (818) 883-8477Fax: (818) 883-2223
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePlastic Surgery
Surgery1174544001
Vasan, Sheila, MD6850 Sepulveda Blvd. #211Van Nuys, CA 91405Tel: (818) 782-4104Fax: (844) 742-4151
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyHematology/OncologyInternal Medicine
Medicine1487846416
Venugopal, Anilrudh, MDHealthCare Partners Medical Group9301 Oakdale AvenueSuite 200Chatsworth, CA 91311Tel: (818) 838-4500Fax: (818) 838-7570
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal MedicineInfectious Disease
Medicine1255502506
Verpukhovskiy, Yuriy, MD14860 Roscoe Blvd.#306Panorama City, CA 91402Tel: (818) 904-9200Fax: (818) 904-9300
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeurology
Medicine1053365270
Viela, Mindaugas, MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalAnesthesiology
Surgery1518910355
Viswanath, Purab C., MDCenter for Orthopaedic Specialists7301 Medical Center Drive, Suite 400West Hills, CA 91307Tel: (818) 264-3344Fax: (818) 264-3433
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalOrthopedic SurgeryHand Surgery
Surgery1336374958
Providence Holy Cross Medical CenterStaff Roster
Page 106 Printed on Friday, April 13, 2018
Vosicher, Oleg, MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1437256021
Wadhwani, David L., MDHealthCare Partners11600 Indian Hills RdMission Hills, CA 91345Tel: (818) 838-4513Fax: (818) 838-7570
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInternal Medicine
Medicine1295758241
Wagmeister, Robert, MD2001 Santa MonicaSuite #670Santa Monica, CA 90404Tel: (310) 828-5626Fax: (310) 828-2826
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyVascular Surgery
Surgery1720014525
Wagner, Jeffrey C., MDNorthwest Stroke Solutions499 E. Hampden Avenue, #360Blue Sky NeurologyEnglewood, CO 80113Tel: (303) 781-4485Fax: (720) 274-0064
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurology
Medicine1033321914
Wakslak, Menachem, MDThe Heart Medical Group16119 Vanowen StVan Nuys, CA 91406Tel: (818) 668-3383Fax: (818) 815-3896
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiologyElectrophysiologyClinical Cardiac ElectrophysiologyMedicine1902095854
Walz, William C., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1295758399
Providence Holy Cross Medical CenterStaff Roster
Page 107 Printed on Friday, April 13, 2018
Wang, Scott A., MDCalifornia Emergency Physicians Med Grp15031 Rinaldi St.E.R.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1114930757
Wangler, Michael D., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveAnesthesiology
Surgery1255351698
Waschak, Nicole C., MD11333 N. Sepulveda BlvdMission Hills, CA 91345Tel: (818) 869-7256Fax: (818) 869-7133
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1417211707
Waskiewicz, Thomas J., MDCalifornia Emergency Physicians Med Grp15031 Rinaldi St.E.R.Mission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1497768030
Waters, Nancy E., MD15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 305-2542Fax: (818) 639-4332
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalInternal Medicine
Medicine1336168988
Watson, James P., MD2190 Lynn Road, Suite # 200Thousand Oaks, CA 91360Tel: (805) 497-8411Fax: (805) 496-5632
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPlastic Surgery
Surgery1295902146
Providence Holy Cross Medical CenterStaff Roster
Page 108 Printed on Friday, April 13, 2018
Wei, Lili S., MDUSC Dept of OB/GYN2020 Zonal Ave.IRD 220Los Angeles, CA 90033Tel: (323) 226-3416Fax: (323) 226-3509
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyMaternal and Fetal Medicine
OB/GYN1417101668
Wheeler, Michael G., DPMLos Angeles Institute of Foot and Ankle201 S. Buena Vista Street, #305Burbank, CA 91505Tel: (818) 848-5588Fax: (818) 848-5509
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1487090973
Whelan, John P., MDLakeside Medical Associates8510 Balboa Blvd#150Northridge, CA 91325Tel: (818) 637-2000Fax: (818) 933-0511
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal MedicineHospitalist
Medicine1083681258
White, Rachel, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 Sepulveda Blvd.,Mission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 496-1137
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1285941559
Whitmire, Kelly, PACalifornia Emergency Med Grp15031 RinaldiERMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalEmergency Medicine
Medicine1538569710
Wiener, Isaac, MDCardiovascular Consultants Med. GroupCardiovascular Consultants Medical Group16542 Ventura Blvd., #402Encino, CA 91436Tel: (818) 782-5041Fax: (818) 205-9534
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiovascular DiseaseInternal MedicineClinical Cardiac ElectrophysiologyMedicine1427041078
Providence Holy Cross Medical CenterStaff Roster
Page 109 Printed on Friday, April 13, 2018
Wilen, Barry L., MDRadiology15031 Rinaldi St.RadiologyMission Hills, CA 91345Tel: (818) 496-4530Fax: (818) 496-4451
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveRadiologyVascular and Interventional Radiology
Medicine1235152620
Wilson, Lou Ellen, MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CAFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 837-5785Fax: (818) 898-1842
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyInternal Medicine
Medicine1386650349
Wittig, Kristina, MDCity of Hope44151 N. 15th West #101Lancaster, CA 93534Tel: (661) 902-5600Fax: (661) 951-0686
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyUrology
Surgery1215995998
Wong, Alan K., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1831357573
Wong, Jeffrey A., MDPediatric Cardiology Med. Assoc. of So. Cal.5400 Balboa Blvd.#202Encino, CA 91316Tel: (818) 784-6269Fax: (818) 784-1531
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPediatric CardiologyPediatrics
Pediatrics1538131966
Wright, Kathryn J., MDFacey Medical Group / Facey Medical Foundation - Mission Hills, CA11333 N. Sepulveda BoulevardMission Hills, CA 91345Tel: (818) 869-7256Fax: (818) 869-7133
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveObstetrics and Gynecology
OB/GYN1922203546
Providence Holy Cross Medical CenterStaff Roster
Page 110 Printed on Friday, April 13, 2018
Wu, John, MDCalifornia Emergency Physicians (CEP)15031 Rinaldi StreetMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyEmergency Medicine
Medicine1295804201
Wu, Tai-Wei, MDChildren's Hospital Los Angeles Medical Group4650 Sunset Blvd Mailstop #31Los Angeles, CA 90027Tel: (323) 361-8375Fax: (323) 361-7927
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalNeonatology
Pediatrics1619179322
Wynn, Michael L., DO1655 Liberty St. SSalem, OR 97302Tel: (503) 581-7959Fax: (503) 362-4114
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurology
Medicine1750332516
Yadegarian, Loris, DPM14600 Sherman WaySuite 210Van Nuys, CA 91405Tel: (818) 988-6880Fax: (818) 988-3289
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1780650218
Yamashita, John T., MDPathology Associates of Southern California15031 Rinaldi St.Mission Hills, CA 91345Tel: (818) 496-4412Fax: (818) 496-4419
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActivePathology
Surgery1558355024
Yamini, Syamak, DPM19950 Rinaldi Street, Ste 101-DPorter Ranch, CA 91326Tel: (818) 336-1356Fax: (310) 400-5666
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPodiatry
Surgery1992992366
Providence Holy Cross Medical CenterStaff Roster
Page 111 Printed on Friday, April 13, 2018
Yanase, Lisa A., MD5050 NE Hoyt Road, Suite 315Portland, OR 97213Tel: (503) 215-8580Fax: (503) 215-8585
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1851384937
Yanow, Jillian N., MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyAnesthesiology
Surgery1326304668
Yao, Xu, MDPSJMC Pathology Dept.501 S. Buena Vista StreetBurbank, CA 91505Tel: (818) 847-6055Fax: (818) 847-6029
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyPathologyHematology
Surgery1841285178
Yashar, Parham, MDBrain & Spine Center - ValenciaBrain & Spine Center - Valencia25751 McBean Parkway, Suite 305Valencia, CA 91355Tel: (661) 799-2542Fax: (661) 253-0248
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyNeurosurgery
Surgery1215100805
Yasharpour, Farid, MD14671 Rinaldi St.San Fernando, CA 91340Tel: (818) 270-9030Fax: (818) 270-9039
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveObstetrics and Gynecology
OB/GYN1073505764
Yasuda, Roderick K., MDSoltero & Yasuda Associates18350 Roscoe Boulevard#201Northridge, CA 91325Tel: (818) 993-4471Fax: (818) 993-7565
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyCardiothoracic SurgeryThoracic SurgeryVascular SurgerySurgery1518997527
Providence Holy Cross Medical CenterStaff Roster
Page 112 Printed on Friday, April 13, 2018
Yee, Ting S., MDCardiovascular Consultants Med. Group14901 Rinaldi Street#110Mission Hills, CA 91345Tel: (818) 365-1339Fax: (818) 898-4301
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveCardiologyInternal Medicine
Medicine1801889365
Yeghoyan, Karine, MD11550 Indian Hills240Mission Hills, CA 91345Tel: (818) 488-5188Fax: (818) 356-4220
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalInternal Medicine
Medicine1265664304
Yellin, Edwin O., MD11550 Indian Hills Rd.#350Mission Hills, CA 91345Tel: (818) 365-6632Fax: (818) 898-1739
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveInfectious DiseaseInternal Medicine
Medicine1467670307
Young, Charles R., MDFacey Medical Group23803 McBean Parkway#101Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 579-8459
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveOrthopedic Surgery
Surgery1528236965
Yuan, Frances H., MD23803 McBean Parkway, #201Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 288-2010
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyObstetrics and Gynecology
OB/GYN1285665604
Zee, Daniel H., MDAdvance TeleRadiology6789 Quail Hill Parkway#728Irvine, CA 92603Tel: (888) 225-0628Fax: (888) 225-1271
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalDiagnostic Radiology
Medicine1386674281
Providence Holy Cross Medical CenterStaff Roster
Page 113 Printed on Friday, April 13, 2018
Zerby-Cook, Gail A., CRNFAFacey Medical Group15612 Meadow DriveCanyon Country, CA 91387Tel: (661) 251-5148Fax: (661) 251-3892
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Allied Health ProfessionalRNFA
Surgery1467553859
Zhu, George, MDBuena Vista Anesthesia2923 Bradley StreetSuite 120Pasadena, CA 91107Tel: (626) 204-6747Fax: (770) 701-6655
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ProvisionalAnesthesiology
Surgery1679956031
Zlidenny, Alexander M., MDCalifornia Emergency Physicians Med Grp15031 Rinaldi St.Emergency RoomMission Hills, CA 91345Tel: (818) 496-4540Fax: (818) 496-4081
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
ActiveEmergency Medicine
Medicine1962448340
Zolfaghari, Touraj, MDFacey Medical Group23803 Mc Bean Prkwy#202Valencia, CA 91355Tel: (661) 481-2400Fax: (661) 255-5626
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
CourtesyGastroenterology
Medicine1659537926
Zurasky, John F., MD9427 SW Barnes Road, Suite 595Portland, OR 97225Tel: (503) 216-1150Fax: (503) 215-8585
Status: Specialty:
Specialty2: Specialty3:
Department:NPI:
Provisional TelemedicineTeleneurologyNeurology
Medicine1255337572