Pediatric Cardiology Medical Assoc. of So. California

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PEDIATRIC CARDIOLOGY MEDICAL ASSOC. OF SO. CALIFORNIA

Practice address

5400 Balboa Blvd Ste 202
Encino, CA 91316-1529

Phone

(818) 784-6269

Fax

(818) 784-1531

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Cristina M. Mercado

Title

Office Manager

Phone

(818) 784-6269

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Hamsika Chandrasekar

  • Pediatrics Physician
  • Palo Alto, CA
  • NPI 1174064521
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386665511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 202",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161529",
            "telephone_number": "818-784-6269",
            "fax_number": "818-784-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 202",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161529",
            "telephone_number": "818-784-6269",
            "fax_number": "818-784-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY MEDICAL ASSOC. OF SO. CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-784-6269",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivon D Pazos
• Jean Anita Pederson, PH.D.
• Pedes Vascular San Fernando Valley
• Pediatric Acute Care Medical Associates, Inc.
• Pediatric and Family Medical Center (Eisner Health Optometry at Encino)
• Pediatric Care Physicians a Professional Medical Corporation
• Pediatric Gastroenterology Medical Center, Inc.
• Panthea Pedoeim, NP
• Michael Pedram, DDS, MD
• Frida Danitza Peinado

• Specialist in Encino, CA
• Providers in Encino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.