Active NPI
Aida K Rechdouni, MD Inc
- Anatomic Pathology & Clinical Pathology Physician
- La Crescenta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A72786
- Legal business name
- AIDA K RECHDOUNI, MD INC
- Practice address
- 2626 Foothill Blvd Ste 102
La Crescenta, CA 91214-3574 - Phone
- (888) 610-8909
- Fax
- (888) 610-8908
- NPI assigned
- Jun 4, 2015
- Last updated
- Mar 23, 2023
- 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
- Dr. Aida Karoun Rechdouni, M.D.
- Title
- President
- Phone
- (818) 468-2929
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLF00342461 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A72786 | CA | Primary |
Addresses
Primary practice location
2626 Foothill Blvd Ste 102
La Crescenta, CA 91214-3574
Mailing address
2750 Pineridge PL
La Crescenta, CA 91214-1458
Phone (818) 468-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2047227 | Aida K. Rechdouni MD Inc | Compliance | May 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
2626 Foothill Blvd
La Crescenta, CA 91214
2626 Foothill Blvd
Ste 102
La Crescenta, CA 91214
Phone (888) 468-2929
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology Physician
- La Crescenta, CA
- NPI 1699814533
Clinical Medical Laboratory
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679529600000",
"number": "1629458765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 PINERIDGE PL",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912141458",
"telephone_number": "818-468-2929",
"fax_number": "888-610-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 FOOTHILL BLVD STE 102",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912143574",
"telephone_number": "888-610-8909",
"fax_number": "888-610-8908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDA K RECHDOUNI, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A",
"authorized_official_last_name": "RECHDOUNI",
"authorized_official_first_name": "AIDA",
"authorized_official_middle_name": "KAROUN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-468-2929",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF00342461",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A72786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.