Organization Active NPI

Maria Lilibeth T. Sy, M.D., Inc.

  • Pediatrics Physician
  • Panorama City, CA
National Provider Identifier
1609969997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GR0099890MedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.