Organization Active NPI

Maryann Dilibero, OD

  • Clinic/Center
  • Palos Verdes Estates, CA
National Provider Identifier
1053722751
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
8404T Issued in CA
Legal business name
MARYANN DILIBERO, OD
Doing business as
Maryann DiLibero, OD
Practice address
1729 Pablo PL
Palos Verdes Estates, CA 90274-1210
Phone
(775) 351-9344
NPI assigned
May 15, 2014
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Maryann Dilibero, OD
Title
Owner
Phone
(775) 351-9344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 8404T CA Primary

Addresses

Primary practice location

1729 Pablo PL
Palos Verdes Estates, CA 90274-1210

Mailing address

1729 Pablo PL
Palos Verdes Estates, CA 90274-1210
Phone (775) 351-9344

Other names 1

  • Maryann DiLibero, OD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Invalid Nam103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1053722751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 PABLO PL",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741210",
            "telephone_number": "775-351-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 PABLO PL",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741210",
            "telephone_number": "775-351-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYANN DILIBERO, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "DILIBERO",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-351-9344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "8404T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryann DiLibero, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palos Verdes Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.