Individual provider Active NPI

Nasim Kamyar

  • Physician Assistant
  • Chatsworth, CA
National Provider Identifier
1114724846
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9915 Variel Ave Unit 16
Chatsworth, CA 91311-6729
Phone
(818) 809-6370
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA Primary

Addresses

Primary practice location

9915 Variel Ave Unit 16
Chatsworth, CA 91311-6729

Mailing address

9915 Variel Ave Unit 16
Chatsworth, CA 91311-6729
Phone (818) 809-6370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504005182 CA Practitioner - Physician Assistant 8426526922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Wound Care IncGroup PAC ID 1254851975, 2 clinicians

Practice addresses (Care Compare)

30700 Russell Ranch Rd
Suite 250
Westlake Village, CA 91362-9507
Phone (888) 998-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1114724846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 VARIEL AVE UNIT 16",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116729",
            "telephone_number": "818-809-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 VARIEL AVE UNIT 16",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116729",
            "telephone_number": "818-809-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMYAR",
        "first_name": "NASIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

Verify at the official NPI Registry.