Active NPI
Vladislav Iskhakov, PT, MPT
- Physical Therapist
- Chatsworth, CA
National Provider Identifier
1033750112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40464
- Practice address
- 22007 Linfield LN
Chatsworth, CA 91311-1319 - Phone
- (323) 578-8198
- NPI assigned
- Sep 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40464 | CA | Primary |
Addresses
Primary practice location
22007 Linfield LN
Chatsworth, CA 91311-1319
Mailing address
22007 Linfield LN
Chatsworth, CA 91311-1319
Phone (323) 578-8198
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40464 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1033750112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22007 LINFIELD LN",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913111319",
"telephone_number": "323-578-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22007 LINFIELD LN",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913111319",
"telephone_number": "323-578-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISKHAKOV",
"first_name": "VLADISLAV",
"credential": "PT, MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatsworth, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.