Active NPI
Hayvenhurst Infectious Dis. Inc.
- Infectious Disease Physician
- Encino, CA
National Provider Identifier
1043236458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A65901
- Legal business name
- HAYVENHURST INFECTIOUS DIS. INC.
- Practice address
- 4054 Strawberry PL
Encino, CA 91436-3826 - Phone
- (310) 914-9150
- Fax
- (310) 914-9705
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan Nazarian, MD
- Title
- Medical Doctor
- Phone
- (310) 914-9150
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A65901 | CA | Primary |
Addresses
Primary practice location
4054 Strawberry PL
Encino, CA 91436-3826
Mailing address
4054 Strawberry PL
Encino, CA 91436-3826
Phone (310) 914-9150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A659010 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5525 Etiwanda Ave
Ste 302
Tarzana, CA 91356
Phone (818) 783-8963
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Encino, CA
- NPI 1831126739
-
- Infectious Disease Physician
- Simi Valley, CA
- NPI 1659328185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043236458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4054 STRAWBERRY PL",
"city": "ENCINO",
"state": "CA",
"postal_code": "914363826",
"telephone_number": "310-914-9150",
"fax_number": "310-914-9705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4054 STRAWBERRY PL",
"city": "ENCINO",
"state": "CA",
"postal_code": "914363826",
"telephone_number": "310-914-9150",
"fax_number": "310-914-9705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAYVENHURST INFECTIOUS DIS. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NAZARIAN",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "310-914-9150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A65901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A659010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.