Porter Ranch Integrative Medical Clinic, a Professional Corporation
NPI 1043642358 · Family Medicine Physician · Porter Ranch, CA
Porter Ranch Integrative Medical Clinic, a Professional Corporation is a Family Medicine Physician organization in Porter Ranch, CA (NPI 1043642358).
Provider details
- NPI number
- 1043642358
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bennett Annan, General Manager(818) 831-8000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Acupuncturist171100000X
Other Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-08-08
- Last updated
- 2013-08-08
Frequently asked questions
- What is Porter Ranch Integrative Medical Clinic, a Professional Corporation's NPI number?
- Porter Ranch Integrative Medical Clinic, a Professional Corporation's National Provider Identifier (NPI) is 1043642358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Porter Ranch Integrative Medical Clinic, a Professional Corporation?
- Porter Ranch Integrative Medical Clinic, a Professional Corporation is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Porter Ranch Integrative Medical Clinic, a Professional Corporation located?
- Porter Ranch Integrative Medical Clinic, a Professional Corporation's practice location on file with NPPES is 11177 Tampa Ave, Porter Ranch, CA 91326-2254.
- What is Porter Ranch Integrative Medical Clinic, a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Porter Ranch Integrative Medical Clinic, a Professional Corporation is (818) 831-8000.
- Who is the authorized official for Porter Ranch Integrative Medical Clinic, a Professional Corporation?
- The authorized official listed on Porter Ranch Integrative Medical Clinic, a Professional Corporation's NPPES record is Bennett Annan, General Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Porter Ranch Integrative Medical Clinic, a Professional Corporation's NPI active?
- Yes — Porter Ranch Integrative Medical Clinic, a Professional Corporation's NPI (1043642358) is active in the NPPES registry as of the last update on 2013-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.