Individual provider Active NPI

Pamela Suzette Colby, M.D.

  • Pediatrics Physician
  • Valencia, CA
National Provider Identifier
1629009188
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G87438 Issued in CA
Practice address
26357 McBean Pkwy
Valencia, CA 91355-4488
Phone
(661) 222-2620
Fax
(661) 222-2633
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G87438 CA Primary

Addresses

Primary practice location

26357 McBean Pkwy
Valencia, CA 91355-4488

Mailing address

PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5637

Other identifiers 1

IdentifierTypeStateIssuer
00G874380MedicaidCA

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
I20060831000178 CA Practitioner - Pediatric Medicine 8022012269 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G87438CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation Pediatrics Current Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 11, 2010 Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 11, 2010 Accepting new patients
Dignity Community Care Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients
Texas Health Presbyterian Hospital Plano Past Accepting new patients
Children'S Health System of Texas Past Accepting new patients
Columbia Medical Center of Plano Subsidiary LP Past Accepting new patients

Locations

File 50670
Los Angeles, CA 90074

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

26357 McBean Pkwy
Ste 390
Santa Clarita, CA 91355
Phone (661) 222-2600

26357 McBean Pkwy
Ste 310
Valencia, CA 91355
Phone (661) 222-2600

26357 McBean Pkwy
Ste 300
Valencia, CA 91355

26357 McBean Pkwy
Valencia, CA 91355
Phone (661) 222-2600

Interoperability endpoints

  • Direct secure messaging: pcolby350231@oc.providencedirect.org

Organizations & group practices 10

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1629009188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9602",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913469602",
            "telephone_number": "818-837-5637",
            "fax_number": "818-837-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26357 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554488",
            "telephone_number": "661-222-2620",
            "fax_number": "661-222-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "PAMELA",
        "middle_name": "SUZETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G87438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G874380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.