Michelle Rebecca Fouladian, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

51947 Issued in CA

Practice address

29229 Canwood St Ste 112
Agoura Hills, CA 91301-1561

Phone

(818) 501-7276

NPI assigned

Sep 30, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Sports Medicine a Medical CorporationGroup PAC ID 2365488723, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rrihani@direct.meditouchehr.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HIDCDD/Endpoint/HIDCDD

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.

• Primary Care Sports Medicine a Medical Corporation

  • Sports Medicine (Family Medicine) Physician
  • Agoura Hills, CA
  • NPI 1134274418
  Medicare reassignment Care Compare group
• Primary Care Sports Medicine a Medical Corporation

  • Sports Medicine (Family Medicine) Physician
  • Agoura Hills, CA
  • NPI 1841977253
  NPD

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1033512439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29229 CANWOOD ST STE 112",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011561",
            "telephone_number": "818-501-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29229 CANWOOD ST STE 112",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011561",
            "telephone_number": "818-501-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULADIAN",
        "first_name": "MICHELLE",
        "middle_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "51947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ellen S. Fletcher, LMFT
• Focus Center for Sleep Apnea and Snoring, LLC
• Foot and Ankle Institute of the West
• Justin Formanek, CMT
• Fortis Hospice & Palliative Care, Inc
• Found Recovery Inc
• Foy Wellness and Recovery, LLC
• Jessica Santana Franklin, PT, DPT, OCS
• Jackson Fraser, PA
• Scott Freedman, PT

• Medical Physician Assistant in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.