KENNETH C NIEBERG MD INC (NPI# 1356302517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356302517 |
| Entity Type | Organization |
| Organization Name | KENNETH C NIEBERG MD INC |
| Practice Address |
235 N Hoover St Los Angeles CA 90004-3627 |
| Mailing Address |
Po Box 10076 Van Nuys CA 91410-0076 |
| Practice Telephone | 2133827252 |
| Mailing Telephone | 8055788300 |
| Mailing Fax Number | 8055788950 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2010-06-01 |
| Authorized Official Name | KENNETH C NIEBERG (PRESIDENT) |
| Authorized Official Telephone | 2133827252 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0023261 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396863080 | Kenneth C Nieberg Md Inc | Pathology | 13222 Bloomfield Ave, Department of Pathology, Norwalk, CA 90650-3249 | 2007-03-27 |
| 1144281163 | Kenneth C Nieberg Md Inc | Pathology | 6245 De Longpre Ave, Hollywood, CA 90028-8253 | 2006-03-29 |
| 1801857834 | Kenneth C Nieberg Md Inc | Pathology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2006-03-29 |
| Street Address |
235 N HOOVER ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166200 | Temple Hospital A Corp | General Acute Care Hospital | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2005-09-29 |
| 1013353903 | Paz M. Lorenzo | Nurse Practitioner | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2013-05-17 |
| 1063856110 | Patrick L Mullens M D Inc | Pathology | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2013-04-19 |
| 1720214703 | Steven K Hwang Md Inc | Specialist | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2009-06-04 |
| 1922248475 | Heritage Orthopedic & Industrial Medicine Mutlti-specialty Group, Inc. | Chiropractor | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2009-02-24 |
| 1740486273 | Temple Community Hospital | Pharmacist | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2007-06-22 |
| 1548399538 | Keith Wayne Jackson | Anesthesiology | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2007-03-05 |
| 1285704254 | J. Chanbonpin, M.d., Inc | Specialist | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2006-11-08 |
| 1487743597 | Sean Shahriar Shahangian | Anesthesiology | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2006-10-12 |
| 1821184441 | Temple Hospital A Corp | Skilled Nursing Facility | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023512126 | Sofia Liou | Pathology | 924 Westwood Blvd Ste 705, Los Angeles, CA 90024-2959 | 2018-03-22 |
| 1134645732 | Jennifer Katzenberg | Pathology | 10833 Le Conte Ave # Chsas, Los Angeles, CA 90095-3075 | 2017-08-16 |
| 1144678426 | Jayjay Zabala Blanco | Pathology | 116 N Robertson Blvd Ste 500, Los Angeles, CA 90048-3100 | 2016-05-27 |
| 1962866855 | Sai Priyanka Gudiwada | Pathology | 10833 Le Conte Ave # A2-179, Los Angeles, CA 90095-1202 | 2016-04-07 |
| 1003229329 | Tiannan Wang | Pathology | 1500 San Pablo St Rm 216, Los Angeles, CA 90033-5313 | 2014-06-04 |
| 1356754840 | Ahmad Ibrahim | Pathology | 1450 San Pablo St Rm 2401, Los Angeles, CA 90033-5331 | 2014-06-03 |
| 1396015434 | Lily Jih | Pathology | 8700 Beverly Blvd., #8709, South Tower, Los Angeles, CA 90048 | 2012-01-06 |
| 1588993059 | Jennifer Lynne Clebanoff | Pathology | Ucla Pathology and Laboratory Medicine, Box 951732, A7-149 Chs, Los Angeles, CA 90095-1732 | 2009-12-13 |
| 1326277385 | Saloni Walia | Pathology | 2011 Zonal Ave # Hmr211, Los Angeles, CA 90089-1083 | 2009-07-10 |
| 1336377829 | Matthew Denicola | Pathology | 10833 Le Conte Ave Box 951732, Los Angeles, CA 90095-1732 | 2009-06-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.