1. Home
  2. Directory
  3. California
  4. Van Nuys
  5. Pediatrics
  6. NPI Profile

DR. ANDRE L VANDERHAL M.D.
NPI 1396773719
Pediatrics - Neonatal-Perinatal Medicine in Van Nuys, CA

Active since June 28, 2006PECOS Enrolled
15107 VANOWEN ST, NICU, VAN NUYS, CA 91405(818) 902-2978 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Andre L Vanderhal M.d. NPPES

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

DR. ANDRE L VANDERHAL M.D. (NPI 1396773719) is an individual neonatal-perinatal medicine provider in Van Nuys, California, licensed in California (A37136) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396773719
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. ANDRE L VANDERHALCredential: M.D.
Location Address15107 VANOWEN ST, NICUVan Nuys, CA 91405-4542
Mailing Address10251 Cresta DrLos Angeles, CA 90064-3432 · (310) 600-1807
Phone(818) 902-2978
Sole ProprietorYes
Enumeration DateJune 28, 2006
Last NPPES UpdateMarch 27, 2012
✔ NPI 1396773719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A37136
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
15107 VANOWEN ST, Van Nuys, CA 91405
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF41931CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andre L Vanderhal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. SHAHRAM SHAWN FARAHVASH M.D.
Anesthesiology
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
PETER KOETTERS M.D.
Pediatrics (Pediatric Critical Care Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-5771
MARINA A SALAMA MD INC
Pediatrics (Adolescent Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
SHANNON TRAN
Nurse Practitioner
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
VALLEY PRESBYTERIAN EMERGENCY MEDICAL ASSOCIATES
Emergency Medicine
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (310) 321-0143
RONALD J BELCZYK, DPM INC.
Podiatrist (Foot & Ankle Surgery)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
KAREN EILEEN MCVEIGH M.D.
Pediatrics (Pediatric Critical Care Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-5771
MARVIN I RETSKY, MD AND DENNIS KASIMIAN, MD A PROFESSIONAL CORPORATION
Pathology (Anatomic Pathology & Clinical Pathology)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 905-2961

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 Andre Vanderhal's NPI number?

The NPI number for Andre Vanderhal is 1396773719. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Andre Vanderhal located?

Andre Vanderhal practices at 15107 Vanowen St Nicu, Van Nuys, CA 91405. The listed phone number is (818) 902-2978.

What is Andre Vanderhal's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Andre Vanderhal enrolled in Medicare?

Yes. Andre Vanderhal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andre Vanderhal was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.