Hospital Pediatric Specialists Medical Group, Inc

Key facts

NPI: 1720273683
Entity type: Organization (NPI type 2)
Primary specialty: Pediatrics Physician 208000000X
Legal business name: HOSPITAL PEDIATRIC SPECIALISTS MEDICAL GROUP, INC
Practice address: 18321 Clark St
Tarzana, CA 91356-3501
Phone: (818) 881-0800
NPI assigned: Sep 12, 2007
Organization subpart: No

Authorized official

Name: Karen Hale
Title: Business Office Manager
Phone: (866) 362-2455

Practitioners 3

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

Cesar Chavarria, M.D. Pediatric Critical Care Medicine Physician · Tarzana, CA · NPI 1609803212

NPD (past) PEDIATRIC CRITICAL CARE MEDICINE
Georgia A Goldfarb, M.D. Pediatrics Physician · Tarzana, CA · NPI 1740416833

NPD (past) PEDIATRICS
Michele Ann Marks, NURSE PRACTITIONER Pediatric Nurse Practitioner · Tarzana, CA · NPI 1891135596

NPD (past)

National Provider Directory

Locations

18425 Burbank Blvd
Ste 719
Tarzana, CA 91356
Phone (818) 342-0793

Networks

BSC 65 PLUS INDIVIDUAL MAPD
Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)	Code	Primary
Pediatrics Physician Group: 193200000X MULTI-SPECIALTY GROUP	208000000X	Yes
Pediatric Cardiology Physician Group: 193200000X MULTI-SPECIALTY GROUP	2080P0202X
Pediatric Critical Care Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	2080P0203X

Addresses

Primary practice location

18321 Clark St
Tarzana, CA 91356-3501

Mailing address

PO Box 570247
Tarzana, CA 91357-0247

Other names

TEDDY Pediatrics, Inc. Doing business as

Other providers in Tarzana, CA

All providers in Tarzana, CA · Pediatrics Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.