Kenneth C Nieberg MD Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

KENNETH C NIEBERG MD INC

Practice address

13222 Bloomfield Ave
Department of Pathology
Norwalk, CA 90650-3249

Phone

(323) 462-2271

NPI assigned

Mar 27, 2007

Last updated

Jun 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth C Nieberg, M.D.NPI 1144281320

Title

President

Phone

(323) 267-0477

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth C Nieberg, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1144281320
  Authorized official Same address or phone

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1396863080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13222 BLOOMFIELD AVE",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503249",
            "telephone_number": "323-462-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C NIEBERG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "NIEBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-267-0477",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasaman Kazemi Hokmabadi
• Dennis Ernest Keefe, PH.D.
• Andrew Kelly
• Nancy Kelly, FNP
• Cheryl Ann Kempinsky, PHD
• Dylan Kenney
• Hedi Kermani, DDS, MDS
• Mandana Khalatbari, DDS
• Ali Asghar Raza Khan, DMD
• Babak Khorram, PHYSICIAN ASSISTANT

• Anatomic Pathology & Clinical Pathology Physician in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

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