NPIMap

Organization Active NPI

Roberto H Mariano MD

  • Clinic/Center
  • Studio City, CA
National Provider Identifier
1619126752
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G73610 Issued in CA
Legal business name
ROBERTO H MARIANO MD
Practice address
12030 Riverside Dr
Suite # a
Studio City, CA 91607-3749
Phone
(818) 655-9902
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Roberto MarianoNPI 1992848980
Title
Medical Director
Phone
(818) 655-9902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G73610 CA Primary

Addresses

Primary practice location

12030 Riverside Dr
Suite # a
Studio City, CA 91607-3749

Mailing address

12030 Riverside Dr
Suite # a
Studio City, CA 91607-3749
Phone (818) 655-9902

National Provider Directory

National Provider Directory

Locations

12030 Riverside Dr
#A
Studio City, CA 91607
Phone (818) 655-9900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1619126752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12030 RIVERSIDE DR",
            "address_2": "SUITE # A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073749",
            "telephone_number": "818-655-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 RIVERSIDE DR",
            "address_2": "SUITE # A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073749",
            "telephone_number": "818-655-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO H MARIANO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-655-9902"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G73610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.