Individual provider Active NPI

Mahnaz Tabibian, MD

  • Pediatric Cardiology Physician
  • Los Angeles, CA
National Provider Identifier
1558348706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A69190 Issued in CA
Practice address
10833 Lecont Ave
Department of Pediatrics
Los Angeles, CA 90095-1752
Phone
(310) 825-7148
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X A69190 CA Primary

Addresses

Primary practice location

10833 Lecont Ave
Department of Pediatrics
Los Angeles, CA 90095-1752

Mailing address

PO Box 49655
Los Angeles, CA 90049-1502
Phone (310) 866-6579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001434 CA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 2365432606 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A69190CAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 2, 2019 Accepting new patients
Obstetrix Medical Group of the Central Coast Professional Corporation CurrentSince Oct 17, 2024 Accepting new patients
California Fetal and Pediatric Cardiology, Inc Pediatric Cardiology Current Accepting new patients
Cedars-Sinai Medical Center CurrentSince Sep 1, 2004 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Sep 1, 2004 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 2, 2019 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Perinatal Diagnostic Center Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

450 E Huntington Dr
Arcadia, CA 91006
Phone (626) 254-2100

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

5400 Balboa Blvd
Ste 202
Encino, CA 91316
Phone (818) 784-6269

File 50978
Los Angeles, CA 90074

200 UCLA Medical Plz
Ste 265
Los Angeles, CA 90095
Phone (310) 206-2429

427 W Pueblo St
Ste A
Santa Barbara, CA 93105
Phone (805) 687-7336

2100 Lynn Rd
Ste 125
Thousand Oaks, CA 91360
Phone (805) 375-7900

6850 Sepulveda Blvd
Ste 207
Van Nuys, CA 91405
Phone (805) 777-7406

29 N Brent St
Ventura, CA 93003
Phone (805) 643-9781

23101 Sherman Pl
Ste 304
West Hills, CA 91307
Phone (805) 777-7406

8700 Beverly Blvd
Ste N4221
West Hollywood, CA 90048

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558348706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49655",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491502",
            "telephone_number": "310-866-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LECONT AVE",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951752",
            "telephone_number": "310-825-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABIBIAN",
        "first_name": "MAHNAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A69190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.