Roberto H. Mariano, M.D.
Individual provider Active NPI Internal Medicine Physician · N Hollywood, CA
NPI 1992848980 · NPPES record last updated Feb 4, 2009
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Jun 20, 2023.
Key facts
- NPI
- 1992848980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G73610 (CA)
- Practice address
- 12030 Riverside Dr
#A
N Hollywood, CA 91607-3749 - Phone
- (818) 655-9902
- Fax
- (818) 655-9909
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G73610 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roberto H Mariano MD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G73610 | CA | Yes |
Addresses
Primary practice location
12030 Riverside Dr
#A
N Hollywood, CA 91607-3749
Mailing address
12030 Riverside Dr
#A
N.Hollywood, CA 91607
Phone (818) 655-9902
Other providers in N Hollywood, CA
- James Leach
- Joel J. Lipkin
- Darwin Loaiza
- LV Medical Group, Inc
- Eliza Marashlian
- McLean Medical Group Inc
- Med Health Link Inc
- MGB Medical Group, Inc.
- Military Tech Temps Inc
- Minx Med
All providers in N Hollywood, CA · Internal Medicine 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 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.