Active NPI
Maryam Seddigh Tonekaboni, M.D.
- Family Medicine Physician
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A118665
- Practice address
- 18350 Roscoe Blvd Ste 307
Northridge, CA 91325-4159 - Phone
- (818) 671-1989
- Fax
- (818) 698-0440
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A118665 | CA | Primary |
Addresses
Primary practice location
18350 Roscoe Blvd Ste 307
Northridge, CA 91325-4159
Mailing address
18350 Roscoe Blvd Ste 307
Northridge, CA 91325-4159
Phone (818) 671-1989
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
18350 Roscoe Blvd
Suite 307
Northridge, CA 91325-4159
Phone (818) 671-1989
Hospital & facility affiliations
- Skylar Home Health, Inc
- BLS Home Care, Inc
- Northridge Hospital Medical Center
- Encino Hospital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A118665 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
| Maryam Seddigh Tonekaboni, MD, Inc. | Family Medicine | Current | Accepting new patients |
Locations
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
16542 Ventura Blvd
Ste 310
Encino, CA 91436
Phone (818) 671-1989
18350 Roscoe Blvd
Ste 307
Northridge, CA 91325
Phone (818) 671-1989
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Encino, CA
- NPI 1689120586
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Reseda, CA
- NPI 1730769670
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- General Acute Care Hospital
- Encino, CA
- NPI 1437322377
-
- Home Health Agency
- North Hollywood, CA
- NPI 1972092468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1851663744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18350 ROSCOE BLVD STE 307",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254159",
"telephone_number": "818-671-1989",
"fax_number": "818-698-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18350 ROSCOE BLVD STE 307",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254159",
"telephone_number": "818-671-1989",
"fax_number": "818-698-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDDIGH TONEKABONI",
"first_name": "MARYAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A118665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.
- 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.