TARZANA VALLEY VITA MEDICAL CENTER
NPI 1003857434
Family Medicine in Tarzana, CA

Active since June 09, 2006CLIA 05D2068487 · Waiver
18607 VENTURA BLVD.,, SUITE 206, TARZANA, CA 91356(818) 758-8282(818) 758-8286 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tarzana Valley Vita Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARZANA VALLEY VITA MEDICAL CENTER (NPI 1003857434) is a healthcare organization registered as a family medicine in Tarzana, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Yuzef Gurovich, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1003857434
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVALLEY VITA MEDICAL CENTER, INC
Location Address18607 VENTURA BLVD.,, SUITE 206Tarzana, CA 91356-4144
Mailing Address18607 Ventura Blvd.,, Suite 206Tarzana, CA 91356-4144 · (818) 758-8282 · Fax (818) 758-8286
Fax(818) 758-8286
Organization SubpartNo
Authorized OfficialYuzef GurovichOwner/ceo · (805) 910-0333
Enumeration DateJune 9, 2006
Last NPPES UpdateApril 29, 2014
✔ NPI 1003857434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
18607 VENTURA BLVD.,, Tarzana, CA 91356

Other Names 1

Doing Business AsTarzana Valley Vita Medical Center

Other Identifiers 4

Medicare UPINW15251CA
OtherZZZ02527ZCA · Blue Shield
MedicaidGR0090900CA
Medicare PINW15251CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tarzana Valley Vita Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Tarzana Valley Vita Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Internal Medicine
NPI 1427093236
9375 SAN FERNANDO RD
Sun Valley, CA 91352
(818) 768-3000
✔ PECOS✔ Accepts Medicare9.6 mi
Obstetrics/Gynecology
NPI 1326295452
191 S BUENA VISTA ST SUITE # 475
Burbank, CA 91505
(818) 843-6101
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1033198882
425 S FAIRFAX AVE 302
Los Angeles, CA 90036
(323) 933-3459
✔ PECOS✔ Accepts Medicare12 mi
General Practice
NPI 1881894715
5831 FIRESTONE BLVD STE E
South Gate, CA 90280
(323) 240-1938
✔ PECOS26 mi
Podiatry
NPI 1295754125
13701 BEACH BLVD A1
Westminster, CA 92683
(714) 705-0737
✔ PECOS✔ Accepts Medicare42 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2068487

Valley Vita Medical Center Inc · Tarzana, CA
Active · expires Sep 16, 2027
CLIA Number05D2068487
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorArrady Stern
Laboratory Phone(818) 758-8282
Laboratory LocationValley Vita Medical Center Inc18607 Ventura Blvd Ste 206, Tarzana, CA 91356
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valley Vita Medical Center, Inc's NPI number?

The NPI number for Valley Vita Medical Center, Inc is 1003857434. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as Tarzana Valley Vita Medical Center.

Where is Valley Vita Medical Center, Inc located?

Valley Vita Medical Center, Inc is located at 18607 Ventura Blvd., Suite 206, Tarzana, CA 91356. The listed phone number is (818) 758-8282.

What is Valley Vita Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Valley Vita Medical Center, Inc enrolled in Medicare?

Yes. Valley Vita Medical Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Valley Vita Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Valley Vita Medical Center, Inc, in Family Practice, General Practice, Internal Medicine, Obstetrics/Gynecology and Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Valley Vita Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2068487) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valley Vita Medical Center, Inc was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.