1. Home
  2. Directory
  3. California
  4. Porter Ranch
  5. Family Medicine
  6. NPI Profile

PORTER RANCH INTEGRATIVE MEDICAL CLINIC, A PROFESSIONAL CORPORATION
NPI 1043642358
Family Medicine in Porter Ranch, CA

Active since August 08, 2013
11177 TAMPA AVE, STE A, PORTER RANCH, CA 91326(818) 831-8000(818) 831-8005 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Porter Ranch Integrative Medical Clinic, A Professional Corporation NPPES

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

PORTER RANCH INTEGRATIVE MEDICAL CLINIC, A PROFESSIONAL CORPORATION (NPI 1043642358) is a healthcare organization registered as a family medicine in Porter Ranch, California and active in the NPI registry since August 2013. The organization lists Bennett Annan, General Manager, as its authorized official.

NPPES Registry Identity

NPI1043642358
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePORTER RANCH INTEGRATIVE MEDICAL CLINIC, A PROFESSIONAL CORPORATION
Location Address11177 TAMPA AVE, STE APorter Ranch, CA 91326-2254
Mailing Address11177 Tampa Ave, Ste APorter Ranch, CA 91326-2254 · (818) 831-8000 · Fax (818) 831-8005
Phone(818) 831-8000
Fax(818) 831-8005
Organization SubpartNo
Authorized OfficialBennett AnnanGeneral Manager · (818) 831-8000
Enumeration DateAugust 8, 2013
✔ NPI 1043642358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedChiropractorTaxonomy 111N00000X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
11177 TAMPA AVE, Porter Ranch, CA 91326
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC PAIN CENTER LLC
Clinic/Center (Multi-Specialty)
11177 TAMPA AVE, SUITE #B
NORTHRIDGE, CA 91326
Los Angeles County (818) 366-0474
DR. JOYCE YOUNG D.C.
Chiropractor
11177 TAMPA AVE, SUITE A
PORTER RANCH, CA 91326
Los Angeles County (818) 831-8000
NATALY ANN OCHOA D.P.T.
Specialist
11177 TAMPA AVE, STE A
PORTER RANCH, CA 91326
Los Angeles County (818) 831-8000
BRIGITTE ANNE CAILLE R.D.
Dietitian, Registered
11177 TAMPA AVE, SUITE A
PORTER RANCH, CA 91326
Los Angeles County (818) 831-8000
MISS NEREIDA PADILLA CMT
Specialist
11177 TAMPA AVE, STE A
PORTER RANCH, CA 91326
Los Angeles County (818) 831-8000
SANJIV JAIN & SHUBHA JAIN MD INC
Clinic/Center (Pain)
11177 TAMPA AVE, SUITE # B
NORTHRIDGE, CA 91326
Los Angeles County (818) 366-0474
MS. ROSALINDA YEATTS MT
Specialist
11177 TAMPA AVE, STE A
PORTER RANCH, CA 91326
Los Angeles County (818) 831-8000
CERES MEDICAL SERVICES INC.
Private Vehicle
11177 TAMPA AVE, SUITE #B
NORTHRIDGE, CA 91326
Los Angeles County (818) 366-4512

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 Porter Ranch Integrative Medical Clinic, A Professional Corporation's NPI number?

The NPI number for Porter Ranch Integrative Medical Clinic, A Professional Corporation is 1043642358. It was assigned to this organization in the NPPES registry on August 8, 2013.

Where is Porter Ranch Integrative Medical Clinic, A Professional Corporation located?

Porter Ranch Integrative Medical Clinic, A Professional Corporation is located at 11177 Tampa Ave Ste A, Porter Ranch, CA 91326. The listed phone number is (818) 831-8000.

What is Porter Ranch Integrative Medical Clinic, A Professional Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Porter Ranch Integrative Medical Clinic, A Professional Corporation was last updated on August 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.