NPIMap

Organization Active NPI

Marc Ladenheim MD Facc Inc

  • Cardiovascular Disease Physician
  • Burbank, CA
National Provider Identifier
1013306364
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G049875 Issued in CA
Legal business name
MARC LADENHEIM MD FACC INC
Practice address
2701 W Alameda Ave
Suite 607
Burbank, CA 91505-4402
Phone
(818) 846-3201
Fax
(818) 846-3939
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Marc L Ladenheim, M.D.
Title
Officer
Phone
(818) 846-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G049875 CA Primary

Addresses

Primary practice location

2701 W Alameda Ave
Suite 607
Burbank, CA 91505-4402

Mailing address

2701 W Alameda Ave
Suite 607
Burbank, CA 91505-4402
Phone (818) 846-3201

Other identifiers 1

IdentifierTypeStateIssuer
00G498751MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1013306364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE",
            "address_2": "SUITE 607",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054402",
            "telephone_number": "818-846-3201",
            "fax_number": "818-846-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE",
            "address_2": "SUITE 607",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054402",
            "telephone_number": "818-846-3201",
            "fax_number": "818-846-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC LADENHEIM MD FACC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "LADENHEIM",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "818-846-3201",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G049875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G498751",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.