Behnoush Mortazavi, NP-C, MSN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

20470 Issued in CA

Practice address

400 W 30TH St
Los Angeles, CA 90007-3320

Phone

(213) 284-3200

Fax

(213) 284-3352

NPI assigned

Mar 23, 2011

Last updated

Oct 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: behnoush.mortazavirnp.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Planned Parenthood Los Angeles Canoga Park

  • Community Health Clinic/Center
  • Canoga Park, CA
  • NPI 1295824498
  NPD (past)
• Planned Parenthood of Greater New York Inc

  • Ambulatory Family Planning Facility
  • Brooklyn, NY
  • NPI 1417959701
  NPD (past)

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1114226628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 30TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073320",
            "telephone_number": "213-284-3200",
            "fax_number": "213-284-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 30TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073320",
            "telephone_number": "213-284-3200",
            "fax_number": "213-284-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTAZAVI",
        "first_name": "BEHNOUSH",
        "name_prefix": "Mrs.",
        "credential": "NP-C, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "202470",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "20470",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NV",
            "license": "001263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "20470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Lynn Morse, MA, MSW
• Linda Mary Morse, L.AC. DIPL OF OM
• Maud Mostafa Morshedi, M.D., PH.D.
• Jillian J. Mortashed, MD
• Mehrdad Mortaz, DDS
• Samira Mortazavi, MD
• Shabnam Mortazavi, MD, MPH
• Shahin Mortazavi
• Alina Uluwehi Marya Agor Morton
• Isabella Morton, M.D.

• Women's Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.