Maria Lilibeth Tan Sy, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A52234 Issued in CA

Practice address

8162 Van Nuys Blvd
Panorama City, CA 91402-4806

Phone

(818) 787-5800

Fax

(818) 787-5810

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700897741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NOREN ST",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112756",
            "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": {
        "last_name": "SY",
        "first_name": "MARIA LILIBETH",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A52234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099890",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "A52234",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Y. Suh, MD
• Christine Summerson Tilt, PT
• Katherine Suter, M.S., CCC-SLP
• Sandra R Swift
• Asaad F. Swissa, MD
• Annette S Sycip, CRNA
• Roger HK Szeto, RPH
• Kamrooz Tabibzadeh, M.D.
• Armik Tadevosyan
• Wadie S. Tadros, MD

• Pediatrics Physician in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.