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SIAMAK STEPHEN MARZBAN,M.D.,INC
NPI 1699076885
Clinic/Center in San Pedro, CA

Active since November 04, 2010CLIA 05D0553665 · Waiver
2403 S MORAY AVE, SAN PEDRO, CA 90732(310) 832-2694(310) 547-0140 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Siamak Stephen Marzban,m.d.,inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIAMAK STEPHEN MARZBAN,M.D.,INC (NPI 1699076885) is a healthcare organization registered as a clinic/center in San Pedro, California and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Siamak Stephen Marzban, President, as its authorized official.

NPPES Registry Identity

NPI1699076885
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSIAMAK STEPHEN MARZBAN,M.D.,INC
Location Address2403 S MORAY AVESan Pedro, CA 90732-4342
Mailing Address2403 S Moray AveSan Pedro, CA 90732-4342 · (310) 832-2694 · Fax (310) 547-0140
Phone(310) 832-2694
Fax(310) 547-0140
Organization SubpartNo
Authorized OfficialSiamak Stephen MarzbanPresident · (310) 832-2694
Enumeration DateNovember 4, 2010
✔ NPI 1699076885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A048221
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2403 S MORAY AVE, San Pedro, CA 90732
Open in Google Maps ↗

Other Identifiers 2

Medicaid00A482211CA
Medicare PINA48221CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0553665

Siamak Stephen Marzban, MD Inc · San Pedro, CA
Active · expires Aug 31, 2026
CLIA Number05D0553665
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSiamak S. Marzban
Laboratory Phone(310) 832-2694
Laboratory LocationSiamak Stephen Marzban, MD Inc2403 Moray Ave Ste 2A, San Pedro, CA 90732
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HANH VIVIAN TRAN D.D.S.
Dentist
2403 S MORAY AVE, SUITE #2
SAN PEDRO, CA 90732
Los Angeles County (310) 832-4203
YVETTE EL SAYAD
Psychologist
2403 S MORAY AVE
SAN PEDRO, CA 90732
Los Angeles County (310) 519-9011
DR. SIAMAK STEPHEN MARZBAN M.D.
Internal Medicine
2403 S MORAY AVE, STE 2B
SAN PEDRO, CA 90732
Los Angeles County (310) 832-2694
DR. JAMES STEVEN BRUST M.D.
Psychiatry & Neurology (Psychiatry)
2403 S MORAY AVE, SUITE 4
SAN PEDRO, CA 90732
Los Angeles County (310) 832-7943
DR. LIANA DELIKYAN PSY.D.
Psychologist (Clinical)
2403 S MORAY AVE, SUITE 1
SAN PEDRO, CA 90732
Los Angeles County (310) 519-9011
JAMES S. BRUST, M.D., INC.
Psychiatry & Neurology (Psychiatry)
2403 S MORAY AVE, SUITE #4
SAN PEDRO, CA 90732
Los Angeles County (310) 832-7943
KATHRYN CUMMINS
Clinical Neuropsychologist
2403 S MORAY AVE
SAN PEDRO, CA 90732
Los Angeles County (424) 488-9973
MS. JANET IRENE BLASER M.A., M.F.T.
Marriage & Family Therapist
2403 S MORAY AVE, SUITE 1
SAN PEDRO, CA 90732
Los Angeles County (310) 892-5315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siamak Stephen Marzban,m.D.,inc's NPI number?

The NPI number for Siamak Stephen Marzban,m.D.,inc is 1699076885. It was assigned to this organization in the NPPES registry on November 4, 2010.

Where is Siamak Stephen Marzban,m.D.,inc located?

Siamak Stephen Marzban,m.D.,inc is located at 2403 S Moray Ave, San Pedro, CA 90732. The listed phone number is (310) 832-2694.

What is Siamak Stephen Marzban,m.D.,inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Siamak Stephen Marzban,m.D.,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0553665) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Siamak Stephen Marzban,m.D.,inc was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.