Individual provider Active NPI

Nazanin Saghafi, PSY.D.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1073899282
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
24602 Issued in CA
Practice address
3392 Motor Ave
Los Angeles, CA 90034-3712
Phone
(310) 439-9215
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 24602 CA Primary

Addresses

Primary practice location

3392 Motor Ave
Los Angeles, CA 90034-3712

Mailing address

PO Box 10533
Beverly Hills, CA 90213-3533
Phone (310) 439-9215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120628000238 CA Practitioner - Clinical Psychologist 3971768748 Practice locations: Beverly Hills, CA; Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

435 N Bedford Dr
Suite 312
Beverly Hills, CA 90210-4314
Phone (310) 858-5090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24602CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology Consultants, Inc PastSince Feb 28, 2003 Accepting new patients
Pantea Farhadi MD a Medical Corporation PastSince Sep 19, 2011 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1073899282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10533",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902133533",
            "telephone_number": "310-439-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3392 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343712",
            "telephone_number": "310-439-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGHAFI",
        "first_name": "NAZANIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "24602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.