California Fetal and Pediatric Cardiology, Inc

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

CALIFORNIA FETAL AND PEDIATRIC CARDIOLOGY, INC

Practice address

11625 Montana Ave Apt 214
Los Angeles, CA 90049-4683

Phone

(310) 866-6579

Fax

(310) 440-8020

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Mahnaz Tabibian, MDNPI 1558348706

Title

Owner

Phone

(310) 866-6579

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mahnaz Tabibian, MD

  • Pediatric Cardiology Physician
  • Los Angeles, CA
  • NPI 1558348706
  NPD Authorized official

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649207994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 MONTANA AVE APT 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11625 MONTANA AVE APT 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494683",
            "telephone_number": "310-866-6579",
            "fax_number": "310-440-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA FETAL AND PEDIATRIC CARDIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TABIBIAN",
        "authorized_official_first_name": "MAHNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-866-6579",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Fertility Clinic Inc
• California Fertility Clinics, LLC
• California Fertility Partners
• California Fertility Partners
• California Fertility Partners
• California Gen Medical Group, Inc
• California General Surgeons Medical Group Inc
• California General Surgeons Medical Group Inc.
• California Green Cross Clinic
• California Green Cross Clinic

• Pediatric Cardiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.