Bluebird Pediatrics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BLUEBIRD PEDIATRICS

Practice address

303 Broadway St Ste 103
Laguna Beach, CA 92651-1816

Phone

(949) 627-5437

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Roia Katebian, MD

Title

Ceo

Phone

(949) 637-4646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1346080108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VIA LOMA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BROADWAY ST STE 103",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511816",
            "telephone_number": "949-627-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "KATEBIAN",
        "authorized_official_first_name": "ROIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-637-4646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Bettingen, RDN
• Michele Bialek, P.T.
• Connie Lee Bird, LCSW
• Becky E Black, RD
• Tessa Ann Blanchard
• Nancy Sumire Boerner, M.D.
• Brenda Bogard, R.P.T.
• Karen Ann Bohan, MFT
• Ginger Booker
• Rami Borno, DDS

• Clinic/Center in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.