CMS-1500 Box 24J / 33a • NPI
1629458765
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207ZP0102X (CMS 22)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology
Box 32 Service Location & ZIP+4
2626 FOOTHILL BLVD STE 102, LA CRESCENTA, CA, 91214-3574
✓ 9-Digit EDI 837 ZIP+4 (91214-3574)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1629458765 (AIDA K RECHDOUNI, MD INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1629458765 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AIDA K RECHDOUNI, MD INC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology NUCC Code: 207ZP0102X (Pathology, Anatomic Pathology & Clinical Pathology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2626 FOOTHILL BLVD STE 102, LA CRESCENTA, CA, 91214-3574 |
| Practice Telephone / Fax | Tel: (888) 610-8909 | Fax: (888) 610-8908 |
| Administrative Mailing Address | 2750 PINERIDGE PL, LA CRESCENTA, CA, 91214-1458 |
| Enumeration & Last Sync | Enumerated: 2015-06-04 | CMS Record Updated: 2023-03-23 |
| Authorized Official | AIDA RECHDOUNI (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in LA CRESCENTA
🔒 Are you AIDA K RECHDOUNI, MD INC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (207ZP0102X)
What Does Taxonomy Code 207ZP0102X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ZP0102X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AIDA K RECHDOUNI, MD INC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
291U00000X — Clinical Medical LaboratoryPlain English: CLIA-Certified Diagnostic Medical & Pathology Laboratory | State: CA | License: CLF00342461 | Primary: Secondary |
207ZP0102X — Pathology, Anatomic Pathology & Clinical PathologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology | State: CA | License: A72786 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.