Peter F Giacobazzi MD Inc a Med Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

G18175 Issued in CA

Legal business name

PETER F GIACOBAZZI MD INC A MED CORP

Practice address

18372 Clark St Ste 204
Tarzana, CA 91356-3554

Phone

(818) 342-4541

Fax

(818) 342-2403

NPI assigned

Sep 26, 2011

Last updated

Sep 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter F. Giacobazzi, M.D.NPI 1831275254

Title

President

Phone

(818) 342-4541

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Francis Giacobazzi, MD

  • Plastic and Reconstructive Surgery Physician
  • Tarzana, CA
  • NPI 1831275254
  Authorized official Same address or phone

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1861775835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18372 CLARK ST STE 204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563554",
            "telephone_number": "818-342-4541",
            "fax_number": "818-342-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18372 CLARK ST STE 204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563554",
            "telephone_number": "818-342-4541",
            "fax_number": "818-342-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER F GIACOBAZZI MD INC A MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "GIACOBAZZI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-342-4541",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G18175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Perry
• Steven Brian Perry, D.C.
• Anglea Persicke, MA, BCBA
• Personal Growth Institute
• Kristian Nicolas Pesebre, LVN
• Peter R. Rubenstein M D a Medical Corporation
• Nare Petoyan, PHARM D.
• Daniela Petrova
• Peyman Ghasri, M.D. a Professional Corporation
• Kimberly Dang Pham

• Specialist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.