Organization Active NPI

Hibm Research Group, Inc.

  • Clinical Medical Laboratory
  • Reseda, CA
National Provider Identifier
1184817108
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HIBM RESEARCH GROUP, INC.
Practice address
18341 Sherman Way
Suite 201a
Reseda, CA 91335-4472
Phone
(818) 789-1033
Fax
(818) 304-7136
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Daniel Darvish, M.D.NPI 1992973762
Title
Chief Financial Officer
Phone
(818) 789-1033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

18341 Sherman Way
Suite 201a
Reseda, CA 91335-4472

Mailing address

18341 Sherman Way
Suite 201a
Reseda, CA 91335-4472
Phone (818) 789-1033

Other identifiers 1

IdentifierTypeStateIssuer
05D0992853OtherCAMEDICARE/MEDICAID PIN

National Provider Directory

National Provider Directory

Locations

21053 Devonshire St
Chatsworth, CA 91311
Phone (818) 789-1033

16661 Ventura Blvd
Ste 311
Encino, CA 91436
Phone (310) 567-3480

18341 Sherman Way
Ste 210A
Reseda, CA 91335
Phone (818) 789-1033

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1184817108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18341 SHERMAN WAY",
            "address_2": "SUITE 201A",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354472",
            "telephone_number": "818-789-1033",
            "fax_number": "818-304-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18341 SHERMAN WAY",
            "address_2": "SUITE 201A",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354472",
            "telephone_number": "818-789-1033",
            "fax_number": "818-304-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBM RESEARCH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "DARVISH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "818-789-1033",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/MEDICAID PIN",
            "identifier": "05D0992853",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.