OrganizationActive
Asuta Medical Group Inc
NPI 1104617315 · Health Service Clinic/Center · Van Nuys, CA
Provider details
- NPI number
- 1104617315
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elsagav Shaham, MD(323) 636-3869
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
14545 Friar St Ste 236
Van Nuys, CA 91411-4719
Phone: (323) 636-3869
Street-level locationGet directions
Mailing address
14545 Friar St Ste 236
Van Nuys, CA 91411-4719
Registry dates
- Enumerated
- 2025-05-15
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.