Individual provider Active NPI

Marcella B. Hardart, MD

  • Pediatrics Physician
  • Pacific Palisades, CA
National Provider Identifier
1265614341
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A93391 Issued in CA
Practice address
910 Via de la Paz
Ste 207
Pacific Palisades, CA 90272-3515
Phone
(310) 454-4466
Fax
(310) 454-0916
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A93391 CA Primary

Addresses

Primary practice location

910 Via de la Paz
Ste 207
Pacific Palisades, CA 90272-3515

Mailing address

910 Via de la Paz
Ste 207
Pacific Palisades, CA 90272-3515
Phone (310) 454-4466

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A93391CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Pediatrics Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Tenth Street Pediatric Medical Group, Inc. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mhardart@tsp.pcc-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1265614341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "STE 207",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723515",
            "telephone_number": "310-454-4466",
            "fax_number": "310-454-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "STE 207",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723515",
            "telephone_number": "310-454-4466",
            "fax_number": "310-454-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDART",
        "first_name": "MARCELLA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A93391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.