Active NPI
Rod Amiri, MD
- Psychiatry Physician
- Calabasas, CA
National Provider Identifier
1083769293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A86314
- Practice address
- 4505 Las Virgenes Rd Ste 211
Calabasas, CA 91302-1956 - Phone
- (818) 878-6900
- NPI assigned
- Jan 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | A86314 | CA | |
| Psychiatry Physician | 2084P0800X | A86314 | CA | Primary |
Addresses
Primary practice location
4505 Las Virgenes Rd Ste 211
Calabasas, CA 91302-1956
Mailing address
4505 Las Virgenes Rd Ste 211
Calabasas, CA 91302-1956
Phone (818) 878-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86314 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1083769293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 LAS VIRGENES RD STE 211",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021956",
"telephone_number": "818-878-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 LAS VIRGENES RD STE 211",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021956",
"telephone_number": "818-878-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIRI",
"first_name": "ROD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CA",
"license": "A86314",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A86314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.