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BOULEVARD PEDIATRICS MEDICAL GROUP INC
NPI 1669509154
Pediatrics in Encino, CA

Active since February 28, 2007CLIA 05D1014120 · Waiver
16550 VENTURA BLVD, STE 414, ENCINO, CA 91436(818) 783-3110(818) 783-3115 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Boulevard Pediatrics Medical Group Inc NPPES

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

BOULEVARD PEDIATRICS MEDICAL GROUP INC (NPI 1669509154) is a healthcare organization registered as a pediatrics in Encino, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through June 25, 2027 and lists Jeremy F Shapiro, President, as its authorized official.

NPPES Registry Identity

NPI1669509154
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBOULEVARD PEDIATRICS MEDICAL GROUP INC
Location Address16550 VENTURA BLVD, STE 414Encino, CA 91436-2004
Mailing Address16550 Ventura Blvd, Ste 414Encino, CA 91436-2004 · (818) 783-3110 · Fax (818) 783-3115
Phone(818) 783-3110
Fax(818) 783-3115
Organization SubpartNo
Authorized OfficialJeremy F ShapiroPresident · (818) 783-3110
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJanuary 22, 2014
✔ NPI 1669509154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A81091
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
16550 VENTURA BLVD, Encino, CA 91436
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D1014120

Boulevard Pediatrics Medical Group, Inc · Encino, CA
Active · expires Jun 25, 2027
CLIA Number05D1014120
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorJeremy F. Shapiro
Laboratory Phone(818) 783-3110
Laboratory LocationBoulevard Pediatrics Medical Group, Inc16550 Ventura Blvd Suite 414, Encino, CA 91436
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

RUBIO PHARMACY
Pharmacy
16550 VENTURA BLVD
ENCINO, CA 91436
Los Angeles County (818) 990-5100
DR. LEAH ALTSCHULER PH.D.
Psychologist (Clinical)
16550 VENTURA BLVD, STE. 405
ENCINO, CA 91436
Los Angeles County (818) 645-2820
MRS. JANA AMPARA ASHCRAFT PT, DPT
Physical Therapist
16550 VENTURA BLVD, SUITE 400
ENCINO, CA 91436
Los Angeles County (818) 905-1331
BRADFORD L ALEX DC
Chiropractor (Rehabilitation)
16550 VENTURA BLVD, 1ST FLOOR
ENCINO, CA 91436
Los Angeles County (818) 784-0990
MARC BENNETT PSY.D.
Psychologist (Clinical)
16550 VENTURA BLVD, SUITE 210
ENCINO, CA 91436
Los Angeles County (818) 309-9938
MANSOURI & CURTIN INC
Clinic/Center (Dental)
16550 VENTURA BLVD, STE 322
ENCINO, CA 91436
Los Angeles County (818) 849-5457
HILDA KOHANCHI PT, DPT
Physical Therapist
16550 VENTURA BLVD, SUITE 400
ENCINO, CA 91436
Los Angeles County (818) 905-1331
JEREMY F SHAPIRO MD
Pediatrics
16550 VENTURA BLVD, STE 414
ENCINO, CA 91436
Los Angeles County (818) 783-3110

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 Boulevard Pediatrics Medical Group Inc's NPI number?

The NPI number for Boulevard Pediatrics Medical Group Inc is 1669509154. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Boulevard Pediatrics Medical Group Inc located?

Boulevard Pediatrics Medical Group Inc is located at 16550 Ventura Blvd Ste 414, Encino, CA 91436. The listed phone number is (818) 783-3110.

What is Boulevard Pediatrics Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Boulevard Pediatrics Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1014120) is associated with this NPI, valid through June 25, 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 Boulevard Pediatrics Medical Group Inc was last updated on January 22, 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.