KENNETH C NIEBERG MD INC (NPI# 1396863080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396863080 |
| Entity Type | Organization |
| Organization Name | KENNETH C NIEBERG MD INC |
| Practice Address |
13222 Bloomfield Ave Department of Pathology Norwalk CA 90650-3249 |
| Mailing Address |
Po Box 10076 Van Nuys CA 91410-0076 |
| Practice Telephone | 3234622271 |
| Mailing Telephone | 8055788300 |
| Mailing Fax Number | 8055780414 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-06-01 |
| Authorized Official Name | KENNETH C NIEBERG (PRESIDENT) |
| Authorized Official Telephone | 3232670477 |
| Authorized Official Credential | M.D. |
| 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 | GR0023263 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356302517 | Kenneth C Nieberg Md Inc | Pathology | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2006-03-29 |
| 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 |
13222 BLOOMFIELD AVE DEPARTMENT OF PATHOLOGY |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255392510 | Westcom Radiology Medical Group | Radiology | 13222 Bloomfield Ave, Norwalk, CA 90650-3249 | 2006-03-28 |
| 1508383654 | Thien T Hong Diep | Registered Nurse | 13222 Bloomfield Ave, Norwalk, CA 90650-3249 | 2017-08-29 |
| 1588116321 | Memorial Pathology Medical Group, Inc. | Pathology | 13222 Bloomfield Ave, Norwalk, CA 90650-3249 | 2016-10-27 |
| 1063856102 | Patrick L Mullens M D Inc | Pathology | 13222 Bloomfield Ave, Norwalk, CA 90650-3249 | 2013-04-19 |
| 1760648539 | California Hospitalists Emergency Physicians Medical Group Inc | Hospitalist | 13222 Bloomfield Ave, Norwalk, CA 90650-3249 | 2008-07-31 |
| 1760656276 | Stephanie Chen Cha | Anesthesiology | 13222 Bloomfield Ave, Norwalk, CA 90650-3249 | 2008-04-15 |
| 1336263615 | Musya Branovan | Anesthesiology | 13222 Bloomfield Ave, Norwalk, CA 90650-3249 | 2007-03-19 |
| 1942388947 | Norwalk Community Emergency Physician Group Inc | Emergency Medicine | 13222 Bloomfield Ave, Norwalk, CA 90650-3249 | 2006-11-01 |
| 1023022472 | Michael G. Noel | Anesthesiology | 13222 Bloomfield Ave, Norwalk, CA 90650-3249 | 2006-07-28 |
| 1629012372 | Jeffrey M. Paskil | Anesthesiology | 13222 Bloomfield Ave, Norwalk, CA 90650 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| 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 |
|---|---|---|---|---|
| 1639119407 | Norwalk Pathology Associates, P.C. | Pathology | 35 Maple St, Norwalk, CT 06850-3817 | 2006-06-08 |
| 1588116321 | Memorial Pathology Medical Group, Inc. | Pathology | 13222 Bloomfield Ave, Norwalk, CA 90650-3249 | 2016-10-27 |
| 1063856102 | Patrick L Mullens M D Inc | Pathology | 13222 Bloomfield Ave, Norwalk, CA 90650-3249 | 2013-04-19 |
| 1952604258 | Bhavna Khandpur | Pathology | 24 Stevens St, Norwalk Hospital - 5th Floor Laboratory, Norwalk, CT 06850-3852 | 2010-12-09 |
| 1457677270 | Clinical Pathology Consultants of Southern Connecticut, LLC | Pathology | 35 Maple St, Norwalk, CT 06856 | 2010-04-19 |
| 1134383334 | Soma Ghosh Karak | Pathology | 24 Stevens St, Norwalk Hospital - 5th Floor Laboratory, Norwalk, CT 06850-3852 | 2008-07-16 |
| 1467639831 | Gillian Helen Levy | Pathology | 24 Stevens St, Norwalk Hospital - 5th Floor Laboratory, Norwalk, CT 06850-3852 | 2008-01-28 |
| 1104015098 | Bayless Pathmark Inc | Pathology | 272 Benedict Ave, Norwalk, OH 44857 | 2007-10-17 |
| 1659316800 | Michael E Bush | Pathology | 34 Maple St, Norwalk Hospital, 5th Floor Laboratory, Norwalk, CT 06850-3815 | 2006-06-19 |
| 1366487613 | Michael P Dicorato | Pathology | 24 Stevens St, Norwalk Hospital - 5th Floor Laboratory, Norwalk, CT 06850-3852 | 2006-06-19 |
| Find all providers in NORWALK | ||||
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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.