SAN FERNANDO VALLEY PULMONARY MEDICAL GROUP, INC.
NPI 1912928037
Specialist in Tarzana, CA

Active since July 22, 2006
18399 VENTURA BLVD, SUITE 245, TARZANA, CA 91356(818) 609-7536(818) 344-9670 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About San Fernando Valley Pulmonary Medical Group, Inc. NPPES

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

SAN FERNANDO VALLEY PULMONARY MEDICAL GROUP, INC. (NPI 1912928037) is a healthcare organization registered as a specialist in Tarzana, California and active in the NPI registry since July 2006. The organization lists Thomas Jenkins Ence, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1912928037
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSAN FERNANDO VALLEY PULMONARY MEDICAL GROUP, INC.
Location Address18399 VENTURA BLVD, SUITE 245Tarzana, CA 91356-4233
Mailing Address18399 Ventura Blvd, Suite 245Tarzana, CA 91356-4233 · (818) 609-7536 · Fax (818) 344-9670
Fax(818) 344-9670
Organization SubpartNo
Authorized OfficialThomas Jenkins EnceCorporate Secretary · (818) 609-7536
Enumeration DateJuly 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912928037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
18399 VENTURA BLVD, Tarzana, CA 91356

Other Identifiers 1

MedicaidGR0001370CA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Fernando Valley Pulmonary Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050805000898Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Fernando Valley Pulmonary Medical Group, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Pulmonary Disease
NPI 1497779508
18399 VENTURA BLVD SUITE 245
Tarzana, CA 91356
(818) 609-7536
✔ PECOSSame address

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

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 San Fernando Valley Pulmonary Medical Group, Inc.'s NPI number?

The NPI number for San Fernando Valley Pulmonary Medical Group, Inc. is 1912928037. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is San Fernando Valley Pulmonary Medical Group, Inc. located?

San Fernando Valley Pulmonary Medical Group, Inc. is located at 18399 Ventura Blvd Suite 245, Tarzana, CA 91356. The listed phone number is (818) 609-7536.

What is San Fernando Valley Pulmonary Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is San Fernando Valley Pulmonary Medical Group, Inc. enrolled in Medicare?

Yes. San Fernando Valley Pulmonary Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

When is San Fernando Valley Pulmonary Medical Group, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through San Fernando Valley Pulmonary Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to San Fernando Valley Pulmonary Medical Group, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Fernando Valley Pulmonary Medical Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.