Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Boulevard Pediatrics Medical Group Inc

Organization Pediatrics Physician · NPI 1669509154

Boulevard Pediatrics Medical Group Inc provides Pediatrics Physician services in Encino, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16550 Ventura Blvd Ste 414
Encino, CA 91436-2004 Not confirmed with CMS for 12 years — call before visiting
Phone: (818) 783-3110
Fax: (818) 783-3115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A81091 (CA)

Record details

NPI number1669509154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Shapiro — President · (818) 783-3110
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJanuary 22, 2014
Mailing address16550 Ventura Blvd, Ste 414, Encino, CA 91436-2004

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