Nicholas Michael Panagiotis, MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A23551 Issued in CA

Legal business name

NICHOLAS MICHAEL PANAGIOTIS, MD INC

Practice address

18370 Burbank Blvd
507
Tarzana, CA 91356-2804

Phone

(818) 774-9200

Fax

(818) 774-1370

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Melissa Ruiz

Title

Office Manager

Phone

(818) 774-0800

Specialties & licenses 1

Addresses

Other names 1

• Nicholas M. Panagiotis, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Nicholas Michael Panagiotis, M.D.

  • Specialist
  • Tarzana, CA
  • NPI 1255313458
  Medicare reassignment NPD

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1013300631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "507",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562804",
            "telephone_number": "818-774-9200",
            "fax_number": "818-774-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "507",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562804",
            "telephone_number": "818-774-9200",
            "fax_number": "818-774-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS MICHAEL PANAGIOTIS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-774-0800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A23551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicholas M. Panagiotis, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sofina Newsome, CATC
• Brian Suatengco Ngan, FNP-C
• Annie Thuy an Nguyen, M.D.
• Nhan Nguyen
• Ryan Nguyen, PHARMD
• Michael Aaron Nicholson
• Cheyanne M Nicol
• Riana Nicolaysen
• Nighat Sarwar, M.D., Inc.
• Damoun Nikouie

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.