Individual provider Active NPI

Maryam Seddigh Tonekaboni, M.D.

  • Family Medicine Physician
  • Northridge, CA
National Provider Identifier
1851663744
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A118665 Issued in CA
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

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130429000369 CA Practitioner - Family Practice 8426294968 Reassigns benefits to 2 organizations

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 Home health agency, Sherman Oaks, CA, CCN 559083
  • BLS Home Care, Inc Home health agency, Encino, CA, CCN 757149
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Encino Hospital Medical Center Hospital, Encino, CA, CCN 050158

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A118665CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 13, 2013 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Feb 13, 2013 Accepting new patients
Maryam Seddigh Tonekaboni, MD, Inc. Family Medicine CurrentSince Oct 1, 2016 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.