Active NPI
Kamyar Jarahzadeh
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1013732130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 123684
- Practice address
- 1554 S Sepulveda Blvd Ste 204
Los Angeles, CA 90025-3359 - Phone
- (310) 595-0037
- NPI assigned
- Nov 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 123684 | CA | Primary |
Addresses
Primary practice location
1554 S Sepulveda Blvd Ste 204
Los Angeles, CA 90025-3359
Mailing address
14320 Ventura Blvd Ste 271
Sherman Oaks, CA 91423-2717
Phone (818) 400-0787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 123684 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1013732130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14320 VENTURA BLVD STE 271",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232717",
"telephone_number": "818-400-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1554 S SEPULVEDA BLVD STE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900253359",
"telephone_number": "310-595-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAHZADEH",
"first_name": "KAMYAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-22",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "123684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.