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

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.

Title

President

Phone

(323) 267-0477

Specialties & licenses 2

Addresses

Other identifiers 1

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0023263",
            "state": "CA"
        }
    ],
    "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.