Khatoun Yazdannejad

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

590162 Issued in CA

Practice address

3828 Delmas Ter
Culver City, CA 90232-2713

Phone

(310) 836-7000

NPI assigned

Sep 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mahnaz Yazdanne Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1124498571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 DURANT DR UNIT 402",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121610",
            "telephone_number": "310-866-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 DELMAS TER",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322713",
            "telephone_number": "310-836-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANNEJAD",
        "first_name": "KHATOUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "590162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHNAZ",
            "last_name": "YAZDANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristina Yano, PT
• Stephie Anne M Yap
• Paige Leigh Yarmon
• Rachel Ann Yarrow, PT
• Bahram Yashar, D.O.
• Ester Ybarra-Bryant
• Dennis Yee, GENERAL DENTIST
• Michael Yee
• Allison Shelby Yen, DDS, MS
• Geoffrey Alan Yeo, O.D.

• Adult Psychiatric/Mental Health Registered Nurse in Culver City, CA
• Providers in Culver City, CA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.