Organization Active NPI

Mdia, LLC

  • Specialist
  • Calabasas, CA
National Provider Identifier
1093125841
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MDIA, LLC
Practice address
5016 Parkway Calabasas
Suite 100
Calabasas, CA 91302
Phone
(800) 400-4674
Fax
(818) 251-1112
NPI assigned
May 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Mr. Jack Weinberg
Title
Chief Operating Officer
Phone
(800) 400-4674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X CA Primary

Addresses

Primary practice location

5016 Parkway Calabasas
Suite 100
Calabasas, CA 91302

Mailing address

5016 Parkway Calabasas
Suite 100
Calabasas, CA 91302
Phone (800) 400-4674

National Provider Directory

National Provider Directory

Locations

5016 Parkway Calabasas
Ste 100
Calabasas, CA 91302
Phone (800) 400-4674

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1093125841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 PARKWAY CALABASAS",
            "address_2": "SUITE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "91302",
            "telephone_number": "800-400-4674",
            "fax_number": "818-251-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 PARKWAY CALABASAS",
            "address_2": "SUITE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "91302",
            "telephone_number": "800-400-4674",
            "fax_number": "818-251-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "800-400-4674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

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