Active NPI
Nejat Basiratmand, M.D.
- Personal Emergency Response Attendant
- Encino, CA
National Provider Identifier
1104115195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- 8616A
- Practice address
- 17740 Burbank Blvd
# 101
Encino, CA 91316-1648 - Phone
- (818) 517-0463
- Fax
- (213) 384-7125
- NPI assigned
- Mar 31, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | 8616A | WY | Primary |
Addresses
Primary practice location
17740 Burbank Blvd
# 101
Encino, CA 91316-1648
Mailing address
17740 Burbank Blvd
# 101
Encino, CA 91316-1648
Phone (818) 517-0463
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8616A | WY | MD | Personal Emergency Response Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1104115195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17740 BURBANK BLVD",
"address_2": "# 101",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161648",
"telephone_number": "818-517-0463",
"fax_number": "213-384-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17740 BURBANK BLVD",
"address_2": "# 101",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161648",
"telephone_number": "818-517-0463",
"fax_number": "213-384-7125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASIRATMAND",
"first_name": "NEJAT",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-31",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "WY",
"license": "8616A",
"primary": true
}
],
"identifiers": [],
"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 Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.