Organization Active NPI

Niloufar Ehya Inc

  • Anesthesiology Physician
  • Santa Monica, CA
National Provider Identifier
1093976409
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A89489 Issued in CA
Legal business name
NILOUFAR EHYA INC
Practice address
1329 Yale St Apt 7
Santa Monica, CA 90404-2446
Phone
(714) 547-3346
Fax
(714) 547-3252
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Niloufar EhyaNPI 1942226345
Title
Owner
Phone
(714) 547-3346

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A89489 CA Primary

Addresses

Primary practice location

1329 Yale St Apt 7
Santa Monica, CA 90404-2446

Mailing address

1315 N Tustin St # I-382
Orange, CA 92867-3905
Phone (714) 547-3346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080618000823 CA Part B Supplier - Clinic/Group Practice 2860563855 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA; Sherman Oaks, CA; Culver City, CA

National Provider Directory

National Provider Directory

Locations

16311 Ventura Blvd
Ste 570
Encino, CA 91436
Phone (805) 969-5500

1315 N Tustin St
#I382
Orange, CA 92867

16055 Ventura Blvd
Ste 120
Van Nuys, CA 91436
Phone (818) 386-5575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1093976409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N TUSTIN ST # I-382",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673905",
            "telephone_number": "714-547-3346",
            "fax_number": "714-547-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 YALE ST APT 7",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042446",
            "telephone_number": "714-547-3346",
            "fax_number": "714-547-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILOUFAR EHYA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "EHYA",
        "authorized_official_first_name": "NILOUFAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-547-3346"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A89489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.

Verify at the official NPI Registry.