Active NPI
Kasra Navabi MD
- Clinic/Center
- Glendale, CA
National Provider Identifier
1104214113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- CA116768
- Legal business name
- KASRA NAVABI MD
- Practice address
- 3217 N Verdugo Rd
#2
Glendale, CA 91208-1672 - Phone
- (818) 550-0702
- Fax
- (818) 550-0705
- NPI assigned
- Dec 26, 2014
- 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. Kasra Navabi
- Title
- Owner
- Phone
- (650) 576-9944
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | CA116768 | CA | Primary |
| Clinic/Center | 261Q00000X | MD2012-0589 | NM |
Addresses
Primary practice location
3217 N Verdugo Rd
#2
Glendale, CA 91208-1672
Mailing address
3217 N Verdugo Rd
#2
Glendale, CA 91208-1672
Phone (818) 550-0702
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A116768 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| MD2012-0589 | Other | NM | NEW MEXICO MEDICAL BOARD |
National Provider Directory
National Provider DirectoryLocations
3217 N Verdugo Rd
Ste 2
Glendale, CA 91208
Phone (818) 550-0702
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Los Angeles, CA
- NPI 1114172897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430438400000",
"number": "1104214113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 N VERDUGO RD",
"address_2": "#2",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081672",
"telephone_number": "818-550-0702",
"fax_number": "818-550-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 N VERDUGO RD",
"address_2": "#2",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081672",
"telephone_number": "818-550-0702",
"fax_number": "818-550-0705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KASRA NAVABI MD",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-26",
"last_updated": "2015-05-01",
"status": "A",
"authorized_official_last_name": "NAVABI",
"authorized_official_first_name": "KASRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-576-9944",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "CA116768",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NM",
"license": "MD2012-0589",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CALIFORNIA",
"identifier": "A116768",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO MEDICAL BOARD",
"identifier": "MD2012-0589",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.