Individual provider Active NPI

Aryan Jamali

  • Home Health Agency
  • Agoura Hills, CA
National Provider Identifier
1013553858
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
95012187 Issued in CA
Practice address
30423 Canwood St Ste 225
Agoura Hills, CA 91301-4367
Phone
(818) 871-9518
Fax
(818) 871-9521
NPI assigned
Nov 26, 2019
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012187 CA
Home Health Agency 251E00000X 95012187 CA Primary

Addresses

Primary practice location

30423 Canwood St Ste 225
Agoura Hills, CA 91301-4367

Mailing address

30423 Canwood St Ste 225
Agoura Hills, CA 91301-4367
Phone (818) 871-9518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95012187CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Care Los Angeles Hospice, Inc. Current Accepting new patients
Unique Care Los Angeles Home Health Care, Inc. Home Health CurrentSince Sep 15, 2024 Accepting new patients
Florence Home Health Care Home Health PastSince Dec 1, 2019 Accepting new patients

Locations

30423 Canwood St
Ste 225
Agoura Hills, CA 91301
Phone (818) 707-2225

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1013553858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD ST STE 225",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014367",
            "telephone_number": "818-871-9518",
            "fax_number": "818-871-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD ST STE 225",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014367",
            "telephone_number": "818-871-9518",
            "fax_number": "818-871-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMALI",
        "first_name": "ARYAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012187",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "95012187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.