St. Joseph Pulmonary Diagnostic Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ST. JOSEPH PULMONARY DIAGNOSTIC MEDICAL GROUP

Practice address

501 S Buena Vista St
Burbank, CA 91505-4809

Phone

(818) 972-2626

Fax

(818) 842-5145

NPI assigned

Mar 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven Taback, M.D.NPI 1225004021

Title

President

Phone

(818) 972-2626

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Michael Taback, M.D.

  • Pulmonary Disease Physician
  • Burbank, CA
  • NPI 1225004021
  NPD (past) Authorized official
• Shailesh S Patel, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Burbank, CA
  • NPI 1174520761
  NPD (past)
• Sharad S Patel, M.D.

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1548236243
  NPD (past)
• Timothy Paul Pendleton, MD

  • Pulmonary Disease Physician
  • Brookville, PA
  • NPI 1801862693
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1013035864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1551",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912091551",
            "telephone_number": "818-972-2626",
            "fax_number": "818-842-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BUENA VISTA ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054809",
            "telephone_number": "818-972-2626",
            "fax_number": "818-842-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH PULMONARY DIAGNOSTIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "TABACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-972-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0049980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Joseph Pharmacy Inc
• St. Joseph Health System Home Care Services LLC
• St. Joseph Hospitalist Medical Group, Inc.
• St. Joseph Intensivist Group, Inc.
• St. Joseph Pharmacy, Inc.
• Carlo St. Juste Jr., M.A.O.M., L.AC.
• Leslie St. Royal, M.D.
• St. Teresa Hospice and Palliative Care, Inc.
• Tanner Staab
• Monica Stamp

• Specialist in Burbank, CA
• Providers in Burbank, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.