Merizhan Maratovich Seidakhmetov, DME SUPPLIER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

11220 Laurel Canyon Blvd. Unit #F105 1/2
San Fernando, CA 91344-4348

Phone

(818) 837-0600

Fax

(818) 837-0150

NPI assigned

May 1, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1013183854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 LAUREL CANYON BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404348",
            "telephone_number": "818-837-0600",
            "fax_number": "818-837-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 LAUREL CANYON BLVD. UNIT #F105 1/2",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913444348",
            "telephone_number": "818-837-0600",
            "fax_number": "818-837-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDAKHMETOV",
        "first_name": "MERIZHAN",
        "middle_name": "MARATOVICH",
        "credential": "DME SUPPLIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raya Sauerbrun, M.A M.F.T
• Jennifer N Sayles, M.D.
• Gillian Schechter
• Princess Schoendorf
• Sarah Rachel Schwartz, PA-C
• Richard Lewis Seidman, M.D.
• Select CS Physical Therapy, P.C. (Select Physical Therapy)
• Senior Care Medical Group, Inc. (Senior Care IPA)
• Sentinel Health Medical Group, Inc.
• Serenity Sleep&Diagnostics Inc

• Case Manager/Care Coordinator in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.