Healthcare Provider Details

I. General information

NPI: 1841646981
Provider Name (Legal Business Name): NORIANNE MARTINEZ PIMENTEL-PIATT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2016
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 FAIR OAKS AVE STE 175
SOUTH PASADENA CA
91030-2683
US

IV. Provider business mailing address

625 FAIR OAKS AVE STE 175
SOUTH PASADENA CA
91030-2683
US

V. Phone/Fax

Practice location:
  • Phone: 626-598-3770
  • Fax:
Mailing address:
  • Phone: 626-598-3770
  • Fax: 626-598-3797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number140310
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number140310
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberMED-PHYS-LIC-87135
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number2023-03083
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number01083790A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: