Aliasghar Matin, MD,RPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A97751 Issued in CA

Practice address

5635 Cahuenga Blvd
North Hollywood, CA 91601-2104

Phone

(818) 308-7450

Fax

(818) 308-7795

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Aliasghar Matin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Electro Diagnostic Medicine

  • Physical Therapy Clinic/Center
  • North Hollywood, CA
  • NPI 1417495904
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348876800000",
    "number": "1003991431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 HILLSIDE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082416",
            "telephone_number": "818-308-7450",
            "fax_number": "818-308-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 CAHUENGA BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012104",
            "telephone_number": "818-308-7450",
            "fax_number": "818-308-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIN",
        "first_name": "ALIASGHAR",
        "credential": "MD,RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A97751",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 12456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIASGHAR",
            "last_name": "MATIN",
            "credential": "MD.RPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dayna Dewitt Mataisz, PMHNP
• Michael Matherne, O.D.
• Howard Thomas Mathis, MSW
• Janice Anne A Matias, PA-C
• Rosemarie Matic
• Amanda Matloff
• Amy Corryn Mattson
• Clara Hwang Mau, FNP
• Mav Hospice Care Inc
• Max Care Home Health Inc

• Physical Medicine & Rehabilitation Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.