Individual provider Active NPI

Buenaventura Tabayoyong Madriaga Jr., RCP

  • Registered Respiratory Therapist
  • Panorama City, CA
National Provider Identifier
1093058364
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
11911 Issued in CA
Practice address
13652 Cantara St # 109
Panorama City, CA 91402-5423
Phone
(818) 375-2901
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X 11911 CA
Registered Respiratory Therapist 227900000X 11911 CA Primary
Pulmonary Function Technologist Registered Respiratory Therapist 2279P1006X 11911 CA

Addresses

Primary practice location

13652 Cantara St # 109
Panorama City, CA 91402-5423

Mailing address

8437 Mammoth Ave
Panorama City, CA 91402-3816
Phone (818) 687-9556

Other names 1

  • Mr. Danny Madriaga Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11911CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1093058364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8437 MAMMOTH AVE",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023816",
            "telephone_number": "818-687-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13652 CANTARA ST # 109",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025423",
            "telephone_number": "818-375-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIAGA",
        "first_name": "BUENAVENTURA",
        "middle_name": "TABAYOYONG",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "CA",
            "license": "11911",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "11911",
            "primary": true
        },
        {
            "code": "2279P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": "CA",
            "license": "11911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANNY",
            "last_name": "MADRIAGA",
            "prefix": "MR.",
            "credential": "RCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.