Organization Active NPI

Cytology Associates of Houston

  • Cytopathology Physician
  • Burbank, CA
National Provider Identifier
1730419607
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
Legal business name
CYTOLOGY ASSOCIATES OF HOUSTON
Practice address
1611 N San Fernando Blvd
Ste B
Burbank, CA 91504-4152
Phone
(818) 206-7236
NPI assigned
Dec 28, 2009
Last updated
Dec 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Fadi Ibrahim
Title
Ceo/President
Phone
(818) 206-7236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X CA Primary

Addresses

Primary practice location

1611 N San Fernando Blvd
Ste B
Burbank, CA 91504-4152

Mailing address

1611 N San Fernando Blvd
Ste B
Burbank, CA 91504-4152
Phone (818) 206-7236

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1730419607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 N SAN FERNANDO BLVD",
            "address_2": "STE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044152",
            "telephone_number": "818-206-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 N SAN FERNANDO BLVD",
            "address_2": "STE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044152",
            "telephone_number": "818-206-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYTOLOGY ASSOCIATES OF HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-206-7236"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.