Active NPI
Maria Lilibeth T. Sy, M.D., Inc.
- Pediatrics Physician
- Panorama City, CA
National Provider Identifier
1609969997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MARIA LILIBETH T. SY, M.D., INC.
- Practice address
- 8162 Van Nuys Blvd
Panorama City, CA 91402-4806 - Phone
- (818) 787-5800
- Fax
- (818) 787-5810
- NPI assigned
- Oct 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Lilibeth Tan Sy, M.D.
- Title
- President/Owner
- Phone
- (818) 787-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
8162 Van Nuys Blvd
Panorama City, CA 91402-4806
Mailing address
PO Box 317
La Canada, CA 91012-0317
Phone (818) 787-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0099890 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609969997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 317",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910120317",
"telephone_number": "818-787-5800",
"fax_number": "818-787-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8162 VAN NUYS BLVD",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024806",
"telephone_number": "818-787-5800",
"fax_number": "818-787-5810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIA LILIBETH T. SY, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SY",
"authorized_official_first_name": "MARIA LILIBETH",
"authorized_official_middle_name": "TAN",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "818-787-5800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0099890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- 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.