Pediatric Subspecialty Associates, Inc

Primary specialty

Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X

License

A55664 Issued in CA

Legal business name

PEDIATRIC SUBSPECIALTY ASSOCIATES, INC

Practice address

501 W Glenoaks Blvd
#650
Glendale, CA 91202-2896

Phone

(323) 376-0228

Fax

(818) 788-7857

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Aninda Das, M.D.

Title

President

Phone

(323) 376-0228

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1356582860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 WOODCLIFF RD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035053",
            "telephone_number": "323-376-0228",
            "fax_number": "818-788-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W GLENOAKS BLVD",
            "address_2": "#650",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022896",
            "telephone_number": "323-376-0228",
            "fax_number": "818-788-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SUBSPECIALTY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "ANINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-376-0228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "A55664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Glendale, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.